| NPI | 1538632237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KIBBLE Speech Language Pathologist 240-381-3629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |