| Doctor Name: | PHYLLIS AVOLIO BEHRER |
| NPI Number: | 1255526711 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.H.S., CCC-SLP |
| License Number: | 2202003981 |
| Business Practice Address: | 101 Leroy Bowen Dr Suite A Lynchburg, VA - 245025093 |
| Business Phone Number: | 4342396630 |
| Business Fax Number: | 4342396640 |
| Mailing Address: | 101 Leroy Bowen Dr, Suite A LYNCHBURG |
| State: | VA |
| Postal Code: | 245025093 |
| Phone Number: | 4342396630 |
| Fax Number: | 4342396640 |
| NPI Enumeration Date: | 09/07/2007 |
| NPI Last Update Date: | 04/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202003981 |
| 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 |