| NPI | 1558218180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA WALLACE Owner/Speech Language Pathologist 517-316-5042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-03-12 |
| Last Update Date | 2026-03-12 |