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Organization
WILLIAMSBURG SPEECH SPECIALTIES, LLC
Active
Organization
WILLIAMSBURG SPEECH SPECIALTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BEAVERS M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(757) 345-3329
Entity
Organization
Contact information
Practice address
1769 JAMESTOWN RD, SUITE 103, WILLIAMSBURG, VA 23185-2324
(757) 229-2516
(757) 565-1738
Mailing address
5928 MONTPELIER DR, WILLIAMSBURG, VA 23188-8122
(757) 345-3329
(757) 565-1738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004986
VA
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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