| NPI | 1326908393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN DELISSER Speech Language Pathologist 954-849-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-11-13 |
| Last Update Date | 2025-11-13 |