| NPI | 1881862746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE R ACEBO Owner Speech Pathologist 918-645-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: OK 2910) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |