| NPI | 1568443497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANASHIA MARCHEA WILSON Speech Language Pathologist 757-329-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: VA 2202003588) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2010-03-19 |