NPI | 1235492026 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELIZABETH DUNLAP Speech Language Pathologist 917-327-3159 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4621) |
Enumeration Date | 2012-06-18 |
Last Update Date | 2015-02-24 |