| NPI | 1588472237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYNE JAY WEISS Speech Language Pathologist 989-992-7918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-12-27 |
| Last Update Date | 2024-12-27 |