| NPI | 1902496375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIA JOANN CLOCK Speech Language Pathologist 305-799-5802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2021-01-20 |