| NPI | 1235670423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENA SEWARD Director 240-391-8438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08344) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: MD 01396) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |