| NPI | 1578285565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN FOLSOM Speech Language Pathologist 727-543-9034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |