| NPI | 1790403061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY ELIZABETH BLACK Speech Language Pathologist 937-608-2841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2024-04-09 |