| NPI | 1205256476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GLANZBERG Speech Language Pathologist 908-553-7854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NJ 41YS00402100) |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2016-03-30 |