| NPI | 1467675231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M ROWE Owner 219-741-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: IN 22004121A) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |