Individual
MRS. HEATHER YANNI ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3961 SALEM LAKES BLVD, VIRGINIA BEACH, VA 23456-4926
(757) 648-3680
Mailing address
3961 SALEM LAKES BLVD, VIRGINIA BEACH, VA 23456-4926
(757) 648-3680
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
18204
CA
235Z00000X
Speech-Language Pathologist
Primary
2202006715
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18204
SPEECH-LANGUAGE PATHOLOGY, AUDIOLOGY AND HEARING AID DISPENSERS BOARD
CA
01
—
2202006715
DEPARTMENT OF HEATH PROFESSIONS
VA
Enumeration date
03/16/2015
Last updated
03/16/2015
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