NPI | 1013464627 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHY ALTER Speech Pathologist 804-672-8588 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007626) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |