Individual
MRS. CHRISTY GRACE HANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
424 KINGS GATE, CHESAPEAKE, VA 23320-7902
(757) 410-4377
Mailing address
424 KINGS GATE, CHESAPEAKE, VA 23320
(757) 410-4377
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004543
VA
Other
Enumeration date
10/09/2009
Last updated
10/09/2009
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