| NPI | 1699296327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DENISE FREE Speech Language Pathologist 703-910-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: VA 2202005653) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2018-06-16 |