Organization
MAKING WAVES SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE SPENCER MS CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(757) 453-4899
Entity
Organization
Contact information
Practice address
522 S INDEPENDENCE BLVD STE 103, VIRGINIA BEACH, VA 23452-1149
(757) 453-4899
Mailing address
522 S INDEPENDENCE BLVD STE 103, VIRGINIA BEACH, VA 23452-1149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
08/05/2024
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