| NPI | 1033590963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN STOUGH Co Owner 804-677-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002757) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |