| NPI | 1518381912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB LEITMAN Owner 732-410-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00507600) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |