| NPI | 1326349747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PAQUETTE Speech Language Pathologist 757-262-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: VA 2202005881) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |