| NPI | 1891900163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA G BOYLE Owner 228-255-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MS A1020) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MS S1020) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-08-13 |