| NPI | 1861069130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA KORNBLUM Speech Language Pathologist 405-537-4471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |