| NPI | 1417634023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA GAIL LUNDGREN Speech Language Pathologist 614-321-1688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2025-05-21 |