| NPI | 1437800547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MOONEY Speech Language Pathologist 856-425-2239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-04-11 |