| NPI | 1467888289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M COONEY Owner/Speech Language Pathologist 251-689-4687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 3395) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |