Individual
OLIVIA AMY OUTHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1 FRANKLIN ST, HAMPTON, VA 23669-3568
(757) 727-2213
Mailing address
3039 GATEWAY DR APT 102, SUFFOLK, VA 23435-1168
(540) 481-6601
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202011461
VA
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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