| NPI | 1801599097 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ASHLEY SMITH Speech Language Pathologist 916-479-1431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-03-24 |
| Last Update Date | 2023-03-24 |