NPI | 1679975551 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA R ROSENBERG Speech Language Pathologist 815-520-6316 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006312) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2014-09-22 |