NPI | 1275904609 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN MCCALLISTER Speech/Language Pathologist 804-301-8428 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001777) |
Enumeration Date | 2015-10-12 |
Last Update Date | 2015-10-12 |