| NPI | 1609443423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BARDACH Speech And Language Therapis 734-973-9670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2021-06-09 |