| NPI | 1376995449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE A MATLEY Speech Language Pathologist 208-357-6342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6744) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |