| NPI | 1174146617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENENE HOLCOMB Speech Language Pathologist 646-493-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-09-02 |