| NPI | 1962772756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS VANDERBILT President 907-748-5374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AK 133) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |