| NPI | 1972789139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY GRAVES Owner 480-495-3871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0205) |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2008-01-17 |