| NPI | 1700216306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENTON W LAYDEN Provider/Owner 855-633-3627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 13564) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |