| NPI | 1255834669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ALBERTINE WILLIAMS Owner/Speech Language Pathologist 757-714-6224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007253) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |