| NPI | 1700193802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE L MESARIC Co Director 215-643-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008160) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2010-09-10 |