| NPI | 1447121652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISSA HALL Ccc Slp 407-463-0502 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261Q00000X Clinic/Center | |
| 222Q00000X Developmental Therapist | |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-12-08 |