| NPI | 1366251266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY LYNN BEVACQUA Owner / Speech Language Pathologist 201-373-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |