| NPI | 1417493701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEAL ELIZABETH GOWER Speech Language Pathologist 618-638-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: KY 170761) |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2017-03-01 |