| NPI | 1598092595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL BRUCE SHAW Speech Pathologist 908-783-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NJ 41ys00032200) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00032200) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2010-01-21 |