| NPI | 1275377988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN EDWARD DUFFY Slp Clinical Fellow 443-923-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-06-19 |
| Last Update Date | 2024-06-19 |