| NPI | 1679049407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MOORE Speech Language Pathologist 850-868-0982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2018-10-19 |