NPI | 1598173619 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA M GREEN Owner 443-257-7448 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04787) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2014-08-01 |