NPI | 1659910206 |
---|---|
Entity Type | Organization |
Authorized Contact | CARMEN TUCKER-RICHARDSON Speech Language Pathologist/Owner 443-579-5757 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2019-12-31 |
Last Update Date | 2022-08-05 |