NPI | 1154872976 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY R WALTON Speech Language Pathologist/Owner 757-871-5558 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202008398) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2016-10-17 |