| NPI | 1730859448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE S DIEDE Owner/Therapist 646-331-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2021-10-18 |