NPI | 1972889376 |
---|---|
Entity Type | Organization |
Authorized Contact | JACQUELINE PATERSON Sole Proprietor 410-295-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 01943) |
Enumeration Date | 2011-10-30 |
Last Update Date | 2011-10-30 |