Individual
DIANE JERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. ED, CCC-SLP
Contact information
Practice address
1401 N HIGH ST, FRANKLIN, VA 23851-1244
(757) 516-8130
Mailing address
1401 N HIGH ST, FRANKLIN, VA 23851-1244
(757) 516-8130
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001599
VA
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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