| NPI | 1639657117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SIDER Speech Language Pathologist 410-218-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146010581) |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2020-01-15 |