| NPI | 1376229906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA EDWARDS Speech Language Pathologist 732-877-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |