| NPI | 1932811783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR JANISCH Speech Language Pathologist 262-914-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2022-12-22 |