| NPI | 1740687490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIEDRE ANNE DENNIS Speech Language Pathologist 703-850-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: VA 2202004567) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |