NPI | 1417239062 |
---|---|
Entity Type | Organization |
Authorized Contact | TOBI JOHNSON HARDEN Speech Language Pathologist/Owner 240-291-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002066) |
Enumeration Date | 2011-09-09 |
Last Update Date | 2011-09-09 |