| NPI | 1497868566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SHULTZABARGER Speech Language Pathologist 405-840-1335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-02-23 |