| NPI | 1689967465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY GLISE Speech Pathologist 702-461-1353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |