| NPI | 1942443296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BERGER Operating Manager 620-480-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: KS 2063) |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2021-12-06 |