| NPI | 1417268749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE MOORE REVEL Speech Language Pathologist 866-570-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 03882) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |