| NPI | 1164966529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BAHADORI Speech Language Pathologist 301-802-8342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ME SP2317) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |