| NPI | 1861813131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN L FIDEL General Partner/Speech Pathologist 520-349-7451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |