| NPI | 1679835557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA MARIE NOLAN Speech Language Pathologist 586-726-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |