| NPI | 1679021505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LADING Owner 779-435-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146009699) |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |