| NPI | 1467880997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MARY COLLINS Owner 904-707-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6864) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |