| NPI | 1821647488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA KELLEY HARTMAN Speech Language Pathologist 616-260-3013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-08-06 |