# CHILDHOOD LANG CNTR AT RICH. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598872590
- **Authorized official:** MRS. ROBIN KAYE OLIVIER CCC-SLP (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (804) 266-6699

## Contact information

- **Practice address:** 4202 HERMITAGE RD, RICHMOND, VA 23227-3755
- **Practice address phone:** (804) 266-6699
- **Practice address fax:** (804) 264-5988
- **Mailing address:** 4202 HERMITAGE RD, RICHMOND, VA 23227-3755
- **Mailing address phone:** (804) 266-6699
- **Mailing address fax:** (804) 264-5988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 052550 | BCBS | VA |
| 01 | — | 195246 | BCBS | VA |
| 01 | — | 3822946 | CIGNA PPO | VA |
| 05 | — | 49-7877-3 | — | VA |
| 05 | — | 94-50297 | — | VA |
