| NPI | 1447629761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRADEL SIMON Owner 732-370-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00788900) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |