Organization
J. GUDIS SPEECH AND LANGUAGE
Active
Other names
J. Gudis Speech and Language
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE GUDIS (SLP)
(323) 833-7863
Entity
Organization
Contact information
Practice address
104 E 31ST ST APT 5D, NEW YORK, NY 10016-6828
(323) 833-7863
Mailing address
104 E 31ST ST APT 5D, NEW YORK, NY 10016-6828
(323) 833-7863
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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