| NPI | 1992156939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE YVETTE THOMPSON Speech Langauge Pathologist 319-382-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2017-01-31 |