NPI | 1457792095 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA ANN WYGANT Speech Language Pathologist 724-888-2548 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL006251L) |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2013-07-11 |
Last Update Date | 2015-02-04 |