| NPI | 1700417748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORISSA BERTOLINI GRANT Speech Language Pathologist 201-602-3374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |