NPI | 1851767586 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE MCMULLEN Speech Language Pathologist 321-287-0662 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA13731) |
Enumeration Date | 2015-08-17 |
Last Update Date | 2015-11-02 |