| NPI | 1710204680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE BYBEE Manager 559-312-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6243) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-10-23 |