| NPI | 1639580517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY P LUSTIG Owner 215-360-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL-005981-L) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2015-10-26 |