NPI | 1639624836 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE C BOYLE CEO 267-400-6816 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011432) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-18 |