| NPI | 1598979502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH MARTINEZ Speech Language Pathologist 804-301-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004379) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |