NPI | 1043966492 |
---|---|
Entity Type | Organization |
Authorized Contact | KIE'RRA T. LOFTIN Owner/Speech Language Pathologist 757-632-2456 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-02-24 |
Last Update Date | 2022-08-26 |