NPI | 1659740637 |
---|---|
Entity Type | Organization |
Authorized Contact | REGINA R THOMAS Owner 202-957-8984 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: DC SLP000379) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MD 00350) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2015-09-18 |