| NPI | 1992257422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEINA F FERGUSON Owner/ Provider 850-857-9343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL sa6756) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2020-06-19 |