| NPI | 1407333651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA ALLEN Owner/Speech Language Pathologist 813-415-9653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |