| NPI | 1992128953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY L WALKER Owner 518-986-4089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9596) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-31 |