| NPI | 1427811314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCCI CHAN Speech Language Pathologist 216-702-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2024-02-02 |