| NPI | 1922604867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENSEMILLAH PETERS-LEWIS Owner/Speech Language Pathologist 347-757-7832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2020-12-30 |