| NPI | 1649082744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN GRIFFITH Speech Language Pathologist 804-929-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-01-24 |