| NPI | 1851717300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A PATIN Speech Language Pathologist 866-770-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006184) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2017-03-01 |