| NPI | 1235477761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LYNN PICKFORD Owner 757-410-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004739) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2015-02-20 |