| NPI | 1851724967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA M BODENHEIM Owner 732-865-5632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00527500) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |