NPI | 1679940886 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE GREGG Speech Language Pathologist, Owner 253-753-4008 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA 603379234) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2015-08-24 |
Last Update Date | 2019-12-20 |