| NPI | 1639918444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXA TOMASELLI LEVY Speech Language Pathologist 909-354-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-05-21 |