| NPI | 1326656018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEGAN ELIZABETH BRANTON Speech Language Pathologist 757-846-4926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2020-07-19 |