| NPI | 1932346384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY GAULT Superintendent 740-928-5878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP6465) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: OH SP6574) |
| 235Z00000X Speech-Language Pathologist, (Licence: OH SP6373) | |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |