NPI | 1952056061 |
---|---|
Entity Type | Organization |
Authorized Contact | JANA WEISBROD Speech Language Pathologist 810-221-1663 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-02-16 |
Last Update Date | 2022-04-05 |