| NPI | 1538411566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIDA R REID Speech Language Pathololgist 520-245-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2020-04-13 |