| NPI | 1134754492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIANNA PETRILLO Speech Language Pathologist 973-771-8918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2020-03-06 |