NPI | 1063835429 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMILA ULMER Speech Pathologist 757-490-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202007050) |
Enumeration Date | 2014-01-21 |
Last Update Date | 2014-01-21 |