| NPI | 1396115077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAXTON DEAN BAKER Owner 417-766-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2012029904) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |