| NPI | 1992588719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERILYN ALYSSA MORSE Speech Language Pathologist 848-250-7625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QA3000X Clinic/Center, Augmentative Communication |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-08-15 |