| NPI | 1962387167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN STROCK Speech Language Pathologist/Member 305-788-5094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-07 |