| NPI | 1427284884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNISE TAYLOR Speech Pathologist/Owner 800-430-8150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146.008715) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: IL 146.008715) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |