| NPI | 1619312782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY R. WALTON Owner/President 757-871-9790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001260) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2013-05-02 |