| NPI | 1326585084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY NATION Owner 765-524-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 14088609) |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-01-19 |