NPI | 1396483624 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY HOLIDA Speech Language Pathologist 605-254-2820 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-05-25 |
Last Update Date | 2022-05-25 |