NPI | 1568940823 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILLIP GUILLORY Owner 505-835-6868 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 5026) |
Enumeration Date | 2018-07-30 |
Last Update Date | 2018-07-30 |