| NPI | 1457590366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BLUM Physician 702-240-4090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NV SP781) |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2010-12-27 |