| NPI | 1770871451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE GILES Owner/ Speech Pathologist 866-611-7855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: GA SLP007162) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-10-14 |