| NPI | 1679151385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE THOMPSON Speech Language Pathologist 732-501-1156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2021-04-01 |