| NPI | 1376856989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M NOOE Owner 757-869-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002525) |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2010-07-24 |