| NPI | 1760908222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA LYNN MOORE Speech Language Pathologist 609-501-0389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |