| NPI | 1023719622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH DUDRICH Speech Language Pathologist / Owner 570-209-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |