Individual
RICHARD W HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
920 PLANTATION RD STE 104, BLACKSBURG, VA 24060-3837
(540) 552-1904
(540) 552-2201
Mailing address
920 PLANTATION RD STE 104, BLACKSBURG, VA 24060-3837
(540) 552-1904
(540) 552-2201
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000553
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009450912
—
VA
01
—
009691T45
PTAN
VA
05
—
1376518605
—
VA
Enumeration date
02/21/2006
Last updated
02/12/2015
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