| NPI | 1063293165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALEN POINDEXTER Speech Language Pathologist 240-676-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2023-10-13 |