| NPI | 1649058736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WARD HUMPHRIES Clinical Director 405-652-9683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2024-01-18 |