NPI | 1245258607 |
---|---|
Entity Type | Organization |
Authorized Contact | JUDITH D SWANSON Owner 315-492-8319 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0014191) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: NY 0005531) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-08-22 |