| NPI | 1649779745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAL E BEAUDEAU Director 516-435-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TS0200X Psychologist, School | |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2024-07-27 |