| NPI | 1104209816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIERE ALLEN Owner/Operator 202-688-1038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05004) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000200) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |