| NPI | 1952924060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNA R FISHLOVE Speech Language Pathologist 954-707-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |