| NPI | 1790296697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON M COLLINS President 716-228-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NY 012649) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |