| NPI | 1891831509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN R POUQUETTE President 928-445-1309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ OTC 4011) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2023-12-05 |