| NPI | 1588455026 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LIZZETTE PASALLO Slpa/Owner 623-693-1327 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant | 
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, | 
| Enumeration Date | 2025-05-14 | 
| Last Update Date | 2025-05-14 |