| NPI | 1558978932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY B. PHOENIX CEO/Speech Language Pathologist 240-425-8605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |