| NPI | 1356646665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEENAN PAIGE GLAZAR Owner/Speech Language Pathologist 571-244-0316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202004993) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |