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Organization
CHATTERING CHILDREN
Active
Organization
CHATTERING CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE EUBANKS PH.D. (EXECUTIVE DIRECTOR)
(804) 290-0475
Entity
Organization
Contact information
Practice address
1307 LAKESIDE AVE, RICHMOND, VA 23228-4710
(804) 290-0475
(804) 290-0476
Mailing address
1307 LAKESIDE AVE, RICHMOND, VA 23228-4710
(804) 290-0475
(804) 290-0476
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001368
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1231037
AETNA HMO ID# MCLEAN
VA
01
—
1558572305
ANTHEM BC/BS
VA
01
—
2532733
AETNA ID 2532733 RICHMOND
VA
01
—
5500795
AETNA ID PPO 5500795
VA
01
—
69161
OPTIMA HEALTH
VA
Enumeration date
05/24/2007
Last updated
10/01/2008
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