| NPI | 1962077370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA E. MCCLURE Speech Pathologist/Owner/Employee 321-591-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-09-07 |