| NPI | 1770034654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKET DAWSON President 302-981-2901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13303) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |