Individual
MONA RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4560 SOUTH BLVD, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Mailing address
1417 FRANKLIN DR, VIRGINIA BEACH, VA 23454-1531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002431
VA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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