| NPI | 1538882212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR SHAYNE ISAAC Speech Language Pathologist 201-923-5507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2022-09-19 |