| NPI | 1518019736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MACLAINE Speech Language Pathologist 307-358-3901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |