Individual
ETHAN BURT NAVARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED CF-SLP
Contact information
Practice address
1912 MEMORIAL AVE, LYNCHBURG, VA 24501-1708
(434) 845-8765
Mailing address
1912 MEMORIAL AVE, LYNCHBURG, VA 24501-1708
(434) 845-8765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000571
VA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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