| NPI | 1437989662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN NICOLE ATKINSON Owner/Speech Language Pathologist 618-694-7295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2024-08-03 |