| NPI | 1558873240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA TOWNSEND Speech Language Pathologist/ Owner 262-945-3515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 3681-154) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |