| NPI | 1700113552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA E DAVIS Owner 540-446-9805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 2204584A) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN VA0810003385) |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2009-11-13 |