NPI | 1356515118 |
---|---|
Entity Type | Organization |
Authorized Contact | CARA JEANNE GRAY Co Owner 812-786-1568 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003943A) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-04-14 |