Individual
BETSY MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
184 FORT DEFIANCE RD, FORT DEFIANCE, VA 24437-2001
(540) 245-5043
Mailing address
184 FORT DEFIANCE RD, FORT DEFIANCE, VA 24437-2001
(540) 245-5043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22022002209
VA
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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