NPI | 1538529938 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKY L HERMRECK Director 209-505-8321 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 16085) |
Enumeration Date | 2016-02-26 |
Last Update Date | 2016-02-26 |