| NPI | 1033683503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANTE HASKINS Speech Language Pathologist 347-247-9754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |