| NPI | 1265046429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIA BLACKWELL Speech Language Pathologist 443-682-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |