Individual
LISA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
729 THIMBLE SHOALS BLVD STE 4C, NEWPORT NEWS, VA 23606-4217
(757) 597-9510
(757) 597-9514
Mailing address
729 THIMBLE SHOALS BLVD STE 4C, NEWPORT NEWS, VA 23606-4217
(757) 597-9510
(757) 597-9514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000328
VA
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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