| NPI | 1477924108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNALISE COLE Speech Language Pathologist 331-248-0251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: IL 242.003691) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |