| NPI | 1710542527 |
|---|---|
| Doing Business As | PRAIRIE PATH SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | JACLYN SUVEG Speech Language Pathologist 262-806-8142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2020-07-01 |