Individual
MRS. KATHLEEN C VOGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
(757) 473-3580
Mailing address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
(757) 473-3580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005319
VA
235Z00000X
Speech-Language Pathologist
SL000348L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
192339
ANTHEM -BLUECROSS
VA
Enumeration date
04/16/2007
Last updated
04/09/2008
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