| NPI | 1134387145 |
|---|---|
| Former Legal Business Name | SOUTH RIDING SPEECH THERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | JENIFER MARY SHOCKLEY Speech Language Pathologist 703-327-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: VA 2202003982) |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |