| NPI | 1134959364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN DAVID WHITE Sole Owner 607-353-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2024-08-02 |
| Last Update Date | 2025-06-18 |