| NPI | 1790497857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORI MUDGE Owner/Speech Language Pathologist 802-683-7702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |