NPI | 1508041724 |
---|---|
Entity Type | Organization |
Authorized Contact | RHONDA J BANFORD Speech Language Pathologist/Owner 636-532-5350 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2001002798) |
Enumeration Date | 2008-01-07 |
Last Update Date | 2008-01-07 |