| NPI | 1801605084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE CLEMENSHAW Speech Language Pathologist 928-228-5463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-01-02 |
| Last Update Date | 2025-01-02 |