| NPI | 1861858011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA BROOKE SIEGEL Speech Language Pathologist 917-921-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006869) |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |