| NPI | 1205885167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISSA N. MEACHAM Speech Language Pathologist 276-492-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004275) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |