NPI | 1730483280 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA K PATNOUDES Owner 708-738-0852 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: IL 146007726) |
Enumeration Date | 2010-12-27 |
Last Update Date | 2020-03-16 |