| NPI | 1730418781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA NEVILLE Owner 603-785-4316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12111595) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2009-12-21 |