| NPI | 1427566082 |
|---|---|
| Doing Business As | SJSLP |
| Entity Type | Organization |
| Authorized Contact | MARIBEL WILLSON Owner 646-234-3756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NJ 41YS00849400) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-06-16 |