| NPI | 1558755140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA E LEWIS Speech Language Pathologist 757-784-0344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: VA 2202007253) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |