| NPI | 1003510546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN DELISLE Speech Language Pathologist 413-335-1440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-04-02 |