| NPI | 1952094617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY COCUZZA Speech Language Pathologist 570-872-4439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |