| NPI | 1730494329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENIECE M PAYNE Clinical Director 571-330-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171R00000X Interpreter | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2014-11-24 |