NPI | 1386173938 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA SOBOLEVSKY President 219-805-4715 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0002659) |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |