| NPI | 1699225334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ATHENA HAGERTY CEO 602-460-9524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP20818) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2016-10-05 |