| NPI | 1821463092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI G FORAN Owner 251-340-2166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2955) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2016-06-21 |