| NPI | 1932721578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L CLAY Speech/Language Pathologist 660-341-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-16 |
| Last Update Date | 2020-05-16 |