| NPI | 1770133498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON SPEICH Speech Language Pathologist 703-215-7561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-14 |
| Last Update Date | 2019-09-14 |