| NPI | 1467976035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA CONNELL Speech Language Pathologist 845-294-4787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-07-21 |