| NPI | 1063792430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW E VAUGHAN Owner 516-458-8715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 012962-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 003083-1) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 005908-1) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 003016-1) | |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2012-08-21 |