| NPI | 1790421121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY VINCENT Speech Pathologist / Owner 618-697-4017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2024-02-06 |