Organization Name: | CHESTERFIELD SPEECH-LANGUAGE SERVICES, LLC |
NPI Number: | 1033590963 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN STOUGH (CO-OWNER) |
Mailing Address: | 9311 Southport Dr North Chesterfield |
State: | VA US |
Postal Code: | 232354933 |
Phone Number: | 8046776966 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2015 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202002757 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |