NPI | 1942735246 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACE JAHNER Owner 623-980-4164 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2017-04-24 |
Last Update Date | 2017-04-24 |