| NPI | 1336419696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY PULLEY Speech Pathologist/Owner 616-447-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MI 12032991) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2017-04-11 |