| NPI | 1487358040 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KATHERINE JUDITH MCCLANAHAN Speech Language Pathologist 407-766-7580  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2023-03-28 | 
| Last Update Date | 2023-05-25 |