NPI | 1598130163 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA RENEE MOORE Owner/Speech Language Pathologist 330-307-7983 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP7959) |
Enumeration Date | 2015-12-08 |
Last Update Date | 2015-12-08 |