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Organization
ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.
Active
Organization
ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. J ANDREE' BROOKS PHR (PRESIDENT)
(540) 343-0165
Entity
Organization
Contact information
Practice address
2030 COLONIAL AVE. SW, ROANOKE, VA 24015-3204
(540) 343-0165
(540) 345-4664
Mailing address
2030 COLONIAL AVE. SW, ROANOKE, VA 24015-3204
(540) 343-0165
(540) 345-4664
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000601
VA
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
2101001443
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007768446
AETNA
VA
01
—
0007790506
AETNA
VA
01
—
0007926527
AETNA
VA
05
—
004978331
—
VA
05
—
010197554
—
VA
05
—
010319544
—
VA
01
—
195182
ANTHEM
VA
01
—
240052
MAMSI
VA
01
—
282756
MAMSI
VA
01
—
297809
MAMSI
VA
01
—
384444
ANTHEM
VA
01
—
7088632
AETNA
VA
Enumeration date
10/27/2006
Last updated
04/14/2009
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