NPI | 1467603886 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA LYNN MYRVOLD President/ Speech Pathologist 317-598-1483 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002720A) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2008-10-03 |