| NPI | 1982779500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA N LONG President, Speech Language Path. 773-339-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146007008) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |