| NPI | 1568929511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN O'DOHERTY DI VINCENZO Slp/President 541-771-0163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2024-05-13 |