| NPI | 1033326491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TRENTON BISHOP Practice Administrator 757-539-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2008-06-19 |