NPI | 1790946598 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANN R. CULLOP Speech Language Pathologist 804-672-8588 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202001114) |
Enumeration Date | 2008-06-24 |
Last Update Date | 2008-06-26 |