| NPI | 1336891399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARENA CAMPBELL Speech Language Pathologist 800-518-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |