| NPI | 1851632814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HADIYA COPPEDGE Speech Language Pathologist 804-519-2845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006163) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: VA 2202006163) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |