| NPI | 1386928935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SELECE W BOWMAN Speech Language Pathologist 757-477-3661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002342) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |