| NPI | 1518099084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH F RUNIONS Business Manager 219-331-4990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-03-11 |
| Last Update Date | 2020-08-22 |