| NPI | 1902522832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS GREGORY Speech Language Pathologist 586-496-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-01-15 |