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 |