| NPI | 1912248303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE PAQUETTE President 757-262-8644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005881) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |