| NPI | 1376318642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN JACKSON Speech Language Patholgist/Manager 775-525-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-22 |