| NPI | 1538672746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SHAW Speech Language Pathologist 732-540-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00819000) |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |