| NPI | 1467332882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLYN TERLECKY Speech Language Pathologist 732-586-4206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-09-05 |
| Last Update Date | 2025-09-05 |