Individual
MRS. PATRICIA BANKS TOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
121 BAGLEY CIR STE 300, MARION, VA 24354-3140
(276) 783-8865
Mailing address
188 STAR MOUNTAIN DR, MARION, VA 24354-1107
(276) 783-3021
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003963
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01029392
ASHA
—
01
—
2202003963
VIRGINIA DEPT. OF HEALTH PROFESSIONALS
VA
Enumeration date
02/08/2018
Last updated
02/08/2018
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