| NPI | 1831727585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA DOLETZKY Speech Therapist/Owner 616-951-1077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-03-30 |
| Last Update Date | 2021-03-22 |