| NPI | 1376092932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA FREEMAN Co Owner 757-329-0602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005282) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |