| NPI | 1477789055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN C PHILLIPS Member 845-462-6701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2011-09-26 |