| NPI | 1205545795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA ANNE TALBOTT Speech Language Pathologist 571-989-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-23 |
| Last Update Date | 2022-11-23 |