| NPI | 1255567905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HANLON Practice Manager 703-924-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005765) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |