| NPI | 1912266016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE HALSTED LOUGHRIDGE Sole Mbr 239-591-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 125) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2012-05-09 |