| NPI | 1558878124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURE WEISSMAN Owner 941-444-6740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13933) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |