| NPI | 1316629447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE MARY PESKLO Speech Language Pathologist 607-760-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |