| NPI | 1639795453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY RAIBLE Speech Language Pathologist 804-314-2697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |