NPI | 1538520978 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA L HUDSON Speech Language Pathologist, Owner 970-402-7616 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP8510) |
Enumeration Date | 2016-03-13 |
Last Update Date | 2016-03-13 |