| NPI | 1801676184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY SUZANNE SUTTON Slpa 740-215-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-10-03 |