Individual
AMI CHERITH DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
620 MAGNA CARTA VIA, CHRISTIANSBRG, VA 24073-1470
(540) 616-7260
Mailing address
620 MAGNA CARTA VIA, CHRISTIANSBRG, VA 24073-1470
(540) 616-7260
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006309
VA
235Z00000X
Speech-Language Pathologist
30000075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205120409
—
NC
05
—
30016196820002
—
VA
Enumeration date
06/06/2011
Last updated
09/21/2022
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