| NPI | 1689325961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY SULLIVAN Owner/Speech Language Pathologist 347-640-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |