| NPI | 1528827623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITA DOTY Owner 402-202-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-03-19 |
| Last Update Date | 2024-03-19 |