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 |