| NPI | 1497999361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY L. MICKLICH Owner 401-578-8348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: RI SP00578) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2009-04-23 |