| NPI | 1508114158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMEY LYNN LORD Owner/Director 571-481-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005685) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2022-03-10 |