| NPI | 1912412339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LONGO Speech Language Pathologist 407-432-1597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6858) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |