| NPI | 1033495304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANN JESWALD WALTERS Speech Language Pathologist 716-646-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 009675-1) |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |