| NPI | 1689234452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA DAVISSON Speech Language Pathologist/Owner 269-235-9083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2023-05-29 |