NPI | 1609253277 |
---|---|
Entity Type | Organization |
Authorized Contact | CRISTINA C STILES Speech Language Pathologist 208-713-3463 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-2231) |
Enumeration Date | 2015-05-02 |
Last Update Date | 2015-10-16 |