| NPI | 1083033807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI SHANAHAN Director 703-243-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202007246) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |