| NPI | 1619650850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY LYNN EVERETT Speech Language Pathologist/Owner 918-208-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-14 |
| Last Update Date | 2023-08-14 |