| NPI | 1326903840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAWSAN JAMAL Speech Language Pathologist 315-679-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-12-17 |
| Last Update Date | 2025-12-17 |