Individual
DEBORAH ANN DIMENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 POLO PKWY, MIDLOTHIAN, VA 23113-1454
(804) 379-2800
Mailing address
14520 CASTLEFORD DR, MIDLOTHIAN, VA 23113-6460
(804) 304-8074
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000768
VA
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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