| NPI | 1619401288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIE VIEUX Speech Language Pathologist 631-943-7413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006977) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |