NPI | 1710378906 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA DONOVAN President 347-326-1776 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 11218) |
Enumeration Date | 2015-02-10 |
Last Update Date | 2015-11-17 |