| 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 |