| NPI | 1922710755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK LITTLE President 559-786-0767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2023-02-08 |