Individual
PAM SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 PRESIDENTIAL BLVD, VIRGINIA BEACH, VA 23452-3311
(757) 648-4160
Mailing address
233 PRESIDENTIAL BLVD, VIRGINIA BEACH, VA 23452-3311
(757) 648-4160
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000479
VA
Other
Enumeration date
03/13/2018
Last updated
04/12/2018
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