| NPI | 1821486689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HICKMAN Owner 954-257-2489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12694) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |