| NPI | 1437048279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAVANE TYLER Speech Language Pathologist 702-339-7419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-06-28 |
| Last Update Date | 2026-02-09 |