| NPI | 1902590003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAUNAH MOULDEN Speech Language Pathologist 302-559-8995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |