| NPI | 1760780522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SHARP Owner 479-414-8349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR sp1113) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2011-03-03 |