NPI | 1396096806 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA SUE SHELDON Office Manager 816-607-1345 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2008014951) |
Enumeration Date | 2012-09-24 |
Last Update Date | 2012-09-24 |