NPI | 1508120411 |
---|---|
Entity Type | Organization |
Authorized Contact | KENT W. LAYDEN Provider/Owner 855-633-3627 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00002992) |
Enumeration Date | 2012-06-26 |
Last Update Date | 2012-06-26 |