| NPI | 1174069165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE GOODMAN President 732-547-2768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020495-1) |
| Enumeration Date | 2017-01-13 |
| Last Update Date | 2017-01-13 |