| NPI | 1225879455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA H OGRODNICK Speech Language Pathologist 732-299-7530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-03 |
| Last Update Date | 2024-06-03 |