| NPI | 1326622127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOVID SUSSMAN Member 201-216-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103T00000X Psychologist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |