| NPI | 1184250607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN LELEUX Speech Language Pathologist 732-618-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |