Individual
DONNA WARD LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1176 BOOTH BRANCH RD, GRUNDY, VA 24614-7049
(276) 935-4551
Mailing address
1176 BOOTH BRANCH RD, GRUNDY, VA 24614-7049
(276) 935-4551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000289
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2203000289
BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
VA
Enumeration date
03/22/2018
Last updated
03/22/2018
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