| NPI | 1811215882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA JEROME NORTON Speech Language Pathologist 434-825-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004822) |
| Enumeration Date | 2010-05-14 |
| Last Update Date | 2010-05-14 |