| NPI | 1497533707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVEN-DION BLAKE Speech Language Pathologist 845-271-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |