| 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 |