| NPI | 1144058025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAISHA PELLETIER Speech Language Pathologist 347-641-4580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |