| NPI | 1932713997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE DOUGHERTY Speech Language Pathologist 609-575-2661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-09-06 |
| Last Update Date | 2020-09-06 |