| NPI | 1013964915 |
|---|---|
| Doing Business As | AUDREY B GREENWALD MS CCC PA |
| Entity Type | Organization |
| Authorized Contact | AUDREY GREENWALD Speech Language Pathologist 5613-918-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: FL sz3827) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2010-08-18 |