| NPI | 1023514932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNE GUYNUP Owner 845-392-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007854) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-06-16 |