NPI | 1962518092 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARIE NOVEMBER President 772-342-1435 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA618) |
Enumeration Date | 2006-08-22 |
Last Update Date | 2016-01-11 |