| NPI | 1982990503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TARLE-PAKULSKI Owner And Lead Speech Therapist 216-272-7039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: IL IL146.007392) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: OH SP5600) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |