| NPI | 1205346129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI POLACK Speech Language Pathologist 609-203-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2019-10-17 |