| NPI | 1073777371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMBERLY L WANNAMAKER Speech Pathologist 646-922-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 018351) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2008-07-16 |