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 |