| NPI | 1639379035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INA MARIE CHANCEY Owner 727-843-4035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 1638) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |