| NPI | 1407465313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE UDELL Speech Language Pathologist 518-641-2370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-07-27 |