| NPI | 1912300930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH CAMP-GERMANN Owner/President 239-595-9972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12682) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9221) |
| Enumeration Date | 2014-10-04 |
| Last Update Date | 2014-12-11 |