NPI | 1013263037 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA BEAVERS Speech Language Pathologist 757-345-3329 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004986) |
Enumeration Date | 2012-07-27 |
Last Update Date | 2012-07-27 |