| NPI | 1265264873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN BARNETT Speech Language Pathologist 631-209-7595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |