NPI | 1669054441 |
---|---|
Entity Type | Organization |
Authorized Contact | ABBIE ANN GACKE Owner, Speech Language Pathologist 605-290-2939 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2021-04-22 |
Last Update Date | 2021-06-24 |