| NPI | 1750990636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN PELLETTIERE Speech Language Pathologist 201-213-2580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |