| NPI | 1558181248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROBERT SIERRA Owner/Speech Language Pathologist 708-822-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |