# ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.

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

## Provider details

- **NPI number:** 1679659403
- **Authorized official:** MS. J ANDREE' BROOKS PHR (PRESIDENT)
- **Authorized official phone:** (540) 343-0165

## Contact information

- **Practice address:** 2030 COLONIAL AVE. SW, ROANOKE, VA 24015-3204
- **Practice address phone:** (540) 343-0165
- **Practice address fax:** (540) 345-4664
- **Mailing address:** 2030 COLONIAL AVE. SW, ROANOKE, VA 24015-3204
- **Mailing address phone:** (540) 343-0165
- **Mailing address fax:** (540) 345-4664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2201000601 | VA | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 237600000X | Audiologist-Hearing Aid Fitter | 2101001443 | VA | — |

## Other

- **Enumeration date:** 10/27/2006
- **Last updated:** 04/14/2009

## 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 |