| NPI | 1518636331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN BLACK-SMITH Speech Language Pathologist 480-204-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-09-07 |