| NPI | 1467311688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY THOMAS Director/Speech Language Pathologis 866-354-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-01-22 |
| Last Update Date | 2026-01-22 |