| NPI | 1750013058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BRADFORD Speech Language Pathologist 443-359-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |