| NPI | 1437961927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS NEWLUN Speech Language Pathologist 123-456-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-28 |