| NPI | 1164896882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SOPER Speech Language Pathologist 201-960-2435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 07182) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2015-11-18 |