| NPI | 1992869036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA MEYER Business Manager 573-883-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: none) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2020-08-22 |