| NPI | 1164122529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY EDITH CROOK Speech Language Pathologist/ Owner 631-901-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-03-06 |
| Last Update Date | 2023-03-06 |