Provider First Line Business Practice Location Address: 
800 FLORIDA AVE NE
    Provider Second Line Business Practice Location Address: 
SPEECH, LANGUAGE AND HEARING SCIENCES
    Provider Business Practice Location Address City Name: 
WASHINGTON
    Provider Business Practice Location Address State Name: 
DC
    Provider Business Practice Location Address Postal Code: 
20002-3600
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
202-448-6964
    Provider Business Practice Location Address Fax Number: 
202-448-5324
    Provider Enumeration Date: 
08/26/2009