Doctor Name: | MRS. PEGGY C AGEE |
NPI Number: | 1144373747 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., CCC-SLP |
License Number: | 2202000494 |
Business Practice Address: | 201 Main Street 3rd Floor Farmville, VA - 23901 |
Business Phone Number: | 4343952972 |
Business Fax Number: | 4343952969 |
Mailing Address: | 3456 Mount Rush Hwy, DILLWYN |
State: | VA |
Postal Code: | 239362506 |
Phone Number: | 4349693265 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202000494 |
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 |