| NPI | 1639824774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA RIDDLE Owner/Speech Language Pathologist 810-295-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-17 |
| Last Update Date | 2022-02-17 |