| NPI | 1013505502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALIE LAUREN GARBER Speech Language Pathologist 347-463-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-09 |