| NPI | 1487268678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LEE WEATHERLY Owner, Speech Pathologist 352-572-8586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-21 |