| NPI | 1497539704 | 
|---|---|
| Doing Business As | SPEECH-ISH | 
| Entity Type | Organization | 
| Authorized Contact | MARY ELLER Employee 726-238-6752 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2023-08-21 | 
| Last Update Date | 2024-02-02 |