Individual
TARA WHITLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MOUNT PLEASANT RD, CHESAPEAKE, VA 23322-3711
(757) 482-5820
Mailing address
905 HAYSI WAY, CHESAPEAKE, VA 23322-7179
(757) 348-3043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004112
VA
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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