Individual
RISHA E STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3253 TAYLOR RD STE 200, CHESAPEAKE, VA 23321-2452
(757) 881-1137
(757) 881-1138
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005976
VA
Other
Enumeration date
11/11/2020
Last updated
11/11/2020
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