NPI | 1780102905 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER MICHELLE PATEL Speech Language Pathologist 602-540-9041 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 11079) |
Enumeration Date | 2017-09-08 |
Last Update Date | 2017-09-08 |