| NPI | 1780313767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONIA M CLAYE LACKRAN Slp 914-882-4583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 251B00000X Case Management |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2024-03-19 |