NPI | 1760735252 |
---|---|
Entity Type | Organization |
Authorized Contact | YELENA ZAVULUNOV Co Owner Speech Language Pathologis 656-756-4828 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 020882) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 0205841) |
Enumeration Date | 2012-10-21 |
Last Update Date | 2012-10-21 |