| NPI | 1942599089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SPEEGLE Owner 80380-479-1758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 2606) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 3537) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |