| NPI | 1255561833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA COLLINS Speech Lanaguage Pathologist 757-952-4217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005417) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2009-07-17 |