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Individual

CATHI M LADERBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CCC-SLP

Contact information

Practice address
933 FIRST COLONIAL RD, SUITE 109, VIRGINIA BEACH, VA 23454-3172
(757) 425-2699
(757) 425-0266
Mailing address
933 FIRST COLONIAL ROAD, SUITE 109, VIRGINIA BEACH, VA 23454-9354
(757) 425-2699
(757) 425-0266

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001314
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ANTHEM
194030
VA
Enumeration date
01/11/2007
Last updated
07/08/2007
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