| NPI | 1689562514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIDY PHOENIX Speech Language Pathologist 702-501-1143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2025-06-27 |
| Last Update Date | 2025-06-27 |