| NPI | 1710975149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE STEWART Owner 716-652-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2012-07-27 |