| NPI | 1396109054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIARA BRYANT Speech Language Pathologist/Owner 941-315-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SA12499) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |