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Organization

CHANGING PHASES SPEECH THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NWAKEGO I THOMAS MA, CCC-SLP (OWNER/ LEAD THERAPIST)
(757) 898-0231
Entity
Organization

Contact information

Practice address
804 LANCASTER LN, NEWPORT NEWS, VA 23602-8820
(757) 898-0231
(757) 898-0231
Mailing address
804 LANCASTER LN, NEWPORT NEWS, VA 23602-8820
(757) 898-0231

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
01/05/2021
Last updated
01/05/2021
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