| NPI | 1902109770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BENSON-VOGT Owner 703-771-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004338) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |