NPI | 1639322134 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN KYLE MEADES Owner 520-232-2021 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP5096) |
Enumeration Date | 2008-10-28 |
Last Update Date | 2014-02-06 |