| NPI | 1376766022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA REGINA OURAND Owner 443-759-3153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 01134) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2012-01-09 |