| NPI | 1457620288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIRAY BALLARD Speech Language Pathologist 347-678-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020555-1) |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2011-12-23 |