| NPI | 1649586157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KAY WYLIE Owner 260-625-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003447A) |
| Enumeration Date | 2010-08-20 |
| Last Update Date | 2010-08-20 |