| NPI | 1710751664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE AMMONS Speech Language Pathologist/Owner 667-408-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2023-11-10 |