| NPI | 1255570602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ANDERSON Practice Administrator 302-674-3350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DE 01-0001086) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 01-03-1130) |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2025-10-03 |