| NPI | 1609314780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA NICOLE GOSNIK Speech Language Pathologist 330-603-4714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA135633) |
| Enumeration Date | 2017-02-08 |
| Last Update Date | 2017-02-08 |