Individual
CHRISTINA LUCKEY WHITHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
13700 N GAYTON RD, HENRICO, VA 23233-7017
(804) 349-8612
Mailing address
13700 N. GAYTON RD, RICHMOND, VA 23233
(804) 364-6352
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008176
VA
Other
Enumeration date
05/18/2016
Last updated
01/16/2018
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