| NPI | 1770360570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENNIE LLANO Speech Language Pathologist 347-889-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |