| NPI | 1629602206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BOWMAN Speech Language Pathologist 502-822-6981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2023-07-24 |