| NPI | 1962848556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY TUCKER Owner 850-559-7884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9219) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |