NPI | 1477030443 |
---|---|
Entity Type | Organization |
Authorized Contact | KIERRA ANNE CALDWELL Speech Language Pathologist 570-439-4520 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 6020) |
Enumeration Date | 2018-07-23 |
Last Update Date | 2021-03-23 |