| NPI | 1851127328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESIRAE NICHOLE DANZY Speech Language Pathologist 574-220-9555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2024-09-11 |