| NPI | 1124779244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MAY Executive Director 347-956-0596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-05-25 |