NPI | 1538226097 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN LEIGH ALSDORF Speech Language Pathologist 573-243-9004 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2003020118) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2011-07-21 |