| NPI | 1619531399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYNISHA L CLOUD Speech Language Pathologist 717-649-7425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-04-27 |
| Last Update Date | 2020-02-24 |