NPI | 1487932760 |
---|---|
Entity Type | Organization |
Authorized Contact | GENTRY A WHITE Owner 620-232-2990 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2237) |
Enumeration Date | 2011-08-03 |
Last Update Date | 2012-01-24 |