Individual
JAMES WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5023
(804) 828-9000
Mailing address
2809 ELLWOOD AVE APT A, RICHMOND, VA 23221-3019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009897
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202009897
SLP LICENSE
VA
Enumeration date
01/20/2022
Last updated
01/20/2022
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