| NPI | 1326724931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYLA LIVESAY FERGUSON Speech Language Pathologist 540-333-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-06-27 |