| NPI | 1962834523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN MARIE CHEAK Owner/Speech Language Pathologist 618-351-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2013-08-06 |