NPI | 1992956536 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN MOORE CEO/Owner 812-332-2265 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22002301A) |
Enumeration Date | 2008-10-01 |
Last Update Date | 2008-10-01 |