| NPI | 1982193116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KEENAN Speech Language Pathologist 330-679-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008863) |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |