| NPI | 1588690150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN C SURVANT Owner 850-233-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA3760) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2020-08-22 |