| NPI | 1811213424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY L LEWIS Office Manager 619-574-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP17420) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-04-08 |