| NPI | 1710118245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE S MERIN Owner 813-727-3123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2018-03-13 |