| NPI | 1275226185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE MASSENBURG LANIER Speech Language Pathologist/Owner 240-413-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2023-05-29 |