| NPI | 1639864044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY PEDDLAR Speech Language Pathologist 631-258-9396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-11 |