| NPI | 1578605747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYBETH K. CHENOWETH Speech Language Pathologist 909-621-1520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |