| NPI | 1619659992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR AVAULT Speech Language Pathologist 781-266-8493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |