NPI | 1750502225 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON GURLEY Owner 870-998-2530 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 2156) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2008-06-16 |