| NPI | 1710468996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE G FAVA Speech Language Pathologist , Owner 401-529-6944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2018-08-24 |