| Doctor Name: | MR. JONATHAN TOMLIN |
| NPI Number: | 1104201953 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., CCC-SLP |
| License Number: | 2202007111 |
| Business Practice Address: | 440 N Lynnhaven Rd Virginia Beach, VA - 234525806 |
| Business Phone Number: | 7574318825 |
| Business Fax Number: | |
| Mailing Address: | 2621 Penshurst Way, VIRGINIA BEACH |
| State: | VA |
| Postal Code: | 234567851 |
| Phone Number: | 4344806452 |
| Fax Number: | |
| NPI Enumeration Date: | 07/22/2015 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202007111 |
| 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 |