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 |