| NPI | 1629913355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER DAVID KILGALLON Speech Language Pathologist 734-330-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |