| NPI | 1639525777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI OWEN Speech Language Pathologist 646-522-3265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012287) |
| Enumeration Date | 2016-05-08 |
| Last Update Date | 2016-05-08 |