| NPI | 1497919351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI UNDERWOOD Owner/Director 518-761-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 011402) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 0044171) |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 0163461) | |
| 235Z00000X Speech-Language Pathologist, (Licence: NY 019159-1) | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2021-04-19 |