Individual
DENISE DYSERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
11201 PINEWOOD CT, HENRICO, VA 23238-5314
(804) 741-4712
Mailing address
11201 PINEWOOD CT, HENRICO, VA 23238-5314
(804) 741-4712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000804
VA
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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