| NPI | 1942510805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE S. MCKENZIE Speech Pathologist 314-909-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 01315) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2010-10-13 |