| NPI | 1396900031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE M. HINGST Owner 480-251-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP4749) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |