| NPI | 1619622859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA STUBENRAUCH Speech Language Pathologist 717-875-0962 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-11-04 |