NPI | 1417236936 |
---|---|
Entity Type | Organization |
Authorized Contact | ELISSA R MANDEL Director 702-733-8255 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP940) |
Enumeration Date | 2011-08-15 |
Last Update Date | 2011-08-15 |