| NPI | 1962110809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE GOLDSHEIN Speech Language Pathologist 203-417-7314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |