| NPI | 1497019830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA THEOBALD Partner 207-590-9194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NH 0649) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |