| NPI | 1891502811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCCULLOUGH Speech Language Pathologist 727-492-1434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-21 |