| NPI | 1073886933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA ANDERSON-BALLARD Speech Language Pathologist 732-873-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00686000) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |