| NPI | 1982854535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE J. CARPENTER Audiologist 920-469-3209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WI 98-156) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |