Organization
SPEAK LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE C COOPER (SPEECH LANGUAGE PATHOLOGIST)
(757) 927-3162
Entity
Organization
Contact information
Practice address
10606 WARWICK BLVD STE B, NEWPORT NEWS, VA 23601-3709
(757) 927-3162
Mailing address
10606 WARWICK BLVD STE B, NEWPORT NEWS, VA 23601-3709
(757) 927-3162
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
2202006657
VA
251E00000X
Home Health Agency
2202006657
VA
252Y00000X
Early Intervention Provider Agency
2202006657
VA
Other
Enumeration date
08/20/2015
Last updated
08/20/2015
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