| NPI | 1861176612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CHEYANNE SIMPSON Owner/Speech Language Pathologist 863-225-0007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-03-25 |