Individual
TARA TIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5859 HARBOUR VIEW BLVD, SUFFOLK, VA 23435
(757) 686-0205
Mailing address
107 BREEZY TREE CT APT E, NEWPORT NEWS, VA 23608-8400
(703) 999-9710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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