| NPI | 1356126189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER A BANCROFT Speech And Language Pathologist 920-365-4417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-29 |