| NPI | 1609536309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARHONDA WINGO Owner/Speech Language Pathologist 904-469-0244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2022-02-16 |