| NPI | 1245500743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA GROOTHUIS Speech Pathologist 516-568-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 01112444) |
| Enumeration Date | 2011-12-31 |
| Last Update Date | 2011-12-31 |