| NPI | 1811033848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JANE GRANGER Speech Pathologist 502-797-4168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-04-02 |