NPI | 1477789212 |
---|---|
Entity Type | Organization |
Authorized Contact | BETHANY M RAY Speech Pathologist/Owner 417-693-6816 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004023139) |
Enumeration Date | 2009-06-08 |
Last Update Date | 2012-02-24 |