| NPI | 1679692347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN S. KUPHALL Speech Language Pathologist 765-717-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22003071A) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |