| NPI | 1982443594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKAYLA KLEYN Speech Language Pathologist 219-204-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |