| NPI | 1578653564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JANE DAVIS S Peech L Anguage P Athologist 405-206-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |