NPI | 1063663862 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA PALMER BEAULAC Speech Language Pathologist 516-279-9389 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 010-835-1) |
Enumeration Date | 2008-10-10 |
Last Update Date | 2008-10-10 |