Individual
PHYLLIS KOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12101 MIDDLECOFF DR, CHESTER, VA 23836-2692
(804) 317-9053
(804) 681-0502
Mailing address
12101 MIDDLECOFF DR, CHESTER, VA 23836-2692
(804) 317-9053
(804) 681-0502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005090
VA
235Z00000X
Speech-Language Pathologist
4341
NC
235Z00000X
Speech-Language Pathologist
529
AK
235Z00000X
Speech-Language Pathologist
SA4758
FL
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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