| NPI | 1962915025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN D SHERMAN Speech Language Pathologist 315-729-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL SA12440) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2020-07-02 |