| NPI | 1609723808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE LYNN THRELFALL Speech Language Pathologist 201-478-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-03-16 |