| NPI | 1376184267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERILYN NICOLE DUTTON Doctor Of Audiology 844-577-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2019-10-02 |