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Organization
KIERNAN SPEECH THERAPY LLC
Active
Organization
KIERNAN SPEECH THERAPY LLC
Active
Other names
Tidewater Swallowing Diagnostics, Shore Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA KIERNAN M.S. CCC-SLP, CBIS (OWNER)
(757) 606-0531
Entity
Organization
Contact information
Practice address
1100 VOLVO PKWY STE 320, CHESAPEAKE, VA 23320-3341
(757) 606-0531
(866) 288-0815
Mailing address
1100 VOLVO PKWY STE 320, CHESAPEAKE, VA 23320-3341
(757) 606-0531
(866) 288-0815
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
2202007680
VA
Other
Enumeration date
09/18/2016
Last updated
11/18/2022
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