| NPI | 1376894022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBEY K FIELDS Sole Member 435-881-1206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: UT 7730252-4102) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |