NPI | 1851647770 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSIE ANN HAMMERSLEY Owner 239-674-9374 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10357) |
Enumeration Date | 2012-07-29 |
Last Update Date | 2016-01-21 |