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 |