| NPI | 1649789520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA STONE Speech Pathologist 559-423-0744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2017-09-23 |
| Last Update Date | 2022-03-28 |