| NPI | 1851559918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM N PARKER Administrator 920-233-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: 2715154) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |