| NPI | 1447491907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE M JOHNSON Speech Language Pathologist 585-317-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 0123738) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-03-13 |