| NPI | 1508190752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN DOTYFLETCHER Speech Language Pathologist 505-550-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |