| NPI | 1396567491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA GRETCHEN BURNHAM Speech Language Pathologist 917-819-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |