NPI | 1780072215 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIA SYDNOR President 757-552-0400 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006232) |
Enumeration Date | 2015-01-06 |
Last Update Date | 2016-09-16 |