Individual
KATHRYN BLAKE POTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-SLP, CF
Contact information
Practice address
6800 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1511
Mailing address
2606 HANOVER AVE APT 1, RICHMOND, VA 23220-4049
(804) 822-6169
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22020087256
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22020087256
VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
VA
Enumeration date
03/18/2018
Last updated
03/18/2018
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