NPI | 1255682050 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMISHA R GRANT Owner/Speech Language Pathologist 240-320-6356 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 05820) |
Enumeration Date | 2012-09-20 |
Last Update Date | 2012-09-20 |