| NPI | 1669157244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY FORTENBERY ROSSI Owner/Speech Language Pathologist 510-274-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |