| NPI | 1982028668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GOSCH Speech Language Pathologist/Member 479-222-6142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 2240) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-06-13 |