| NPI | 1285406967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN PATRICIA BOYLE Speech Language Pathologist 267-253-2016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-25 |