| 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 |