| NPI | 1487246104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNAN MARIE O'DONNELL Speech Language Pathologist 574-274-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2023-09-06 |