| NPI | 1447691910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNAH MARGARET EDGAR Owner 812-322-0052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22005087A) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |