| NPI | 1811742893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARE CONLAN Speech Language Pathologist 929-777-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2024-11-13 |