NPI | 1689063364 |
---|---|
Doing Business As | PAMELA GREEN |
Entity Type | Organization |
Authorized Contact | PAMELA GREEN Speech Language Pathologist 917-943-0124 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 107632) |
Enumeration Date | 2015-01-18 |
Last Update Date | 2015-01-18 |