| NPI | 1174549000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ML DUPREE Office/Insurance Manager 757-488-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |