NPI | 1336627413 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAREVA MCCULLOUGH Speech And Language Pathologist 702-937-6774 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2018-08-01 |
Last Update Date | 2018-08-01 |