| NPI | 1023764420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY LEWIS-MCGRATH Speech Language Pathologist 804-937-2364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |