NPI | 1831359074 |
---|---|
Entity Type | Organization |
Authorized Contact | STACI GRANT Speech And Language Pathologist 508-335-1679 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: MA 5740) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2008-06-11 |