| NPI | 1578329520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON BLACKSTONE Speech Language Pathologist, Owner 954-592-5478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-02-27 |