NPI | 1982096806 |
---|---|
Entity Type | Organization |
Authorized Contact | GRETA CLADOUHOS Owner/Speech Pathologist Avt 907-868-2753 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AK 287) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2015-03-09 |