| NPI | 1720892748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN DEARBORN Speech Language Pathologist 267-374-2168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |