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Organization
VIRGINIA HEARING PLLC
Active
Organization
VIRGINIA HEARING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE BRYDIE AU.D. (OWNER/AUDIOLOGIST)
(434) 298-7800
Entity
Organization
Contact information
Practice address
3145 VIRGINIA BEACH BLVD STE 206, VIRGINIA BEACH, VA 23452-6950
(757) 401-4796
Mailing address
3145 VIRGINIA BEACH BLVD STE 206, VIRGINIA BEACH, VA 23452-6950
(434) 298-7800
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210101919
HEARING INSTRUMENT SPECIALIST LICENSE
VA
01
—
2201001500
AUDIOLOGY LICENSE
VA
Enumeration date
03/31/2022
Last updated
05/17/2024
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