Organization Name: | CRIPPLED CHILDREN'S HOSPITAL |
NPI Number: | 1093852436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAMUEL G WEIDMAN (VICE PRESIDENT & CFO) |
Mailing Address: | 10530 Spotsylvania Ave Suite 102 Children's Hospital Therapy Center Fredericksburg |
State: | VA US |
Postal Code: | 22408 |
Phone Number: | 5408914485 |
Fax Number: | 5408914486 |
NPI Enumeration Date: | 02/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | H1842 |
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 |