NPI | 1417494824 |
---|---|
Entity Type | Organization |
Authorized Contact | HOLLY LYONS Speech Language Pathologist 316-755-8518 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2034) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: KS 3410) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2017-01-23 |