| NPI | 1689063216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CREGAN Speech Language Pathologist 727-967-1036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2015-01-20 |
| Last Update Date | 2021-05-11 |