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 |