| NPI | 1275943813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOUPAZER JORDAN Speech Language Pathologist 703-725-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 04254) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2014-05-05 |