| NPI | 1326411943 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | CECELIA ANNE COOPER Speech Language Pathologist 954-804-0298 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2015-11-04 | 
| Last Update Date | 2015-11-04 |