| NPI | 1316393663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SPILLMAN KENNEDY Speech Language Pathologist 866-539-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YSO O1580) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |