| NPI | 1790547875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS BOLLINGER Speech Language Pathologist 717-253-7438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-01-25 |