| NPI | 1013219781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J. TRAVIS President/CEO 301-367-1651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 01507) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2011-06-25 |