Organization
SPEECH AT THE BEACH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY CAUSEY M.S. ED-CCC-SLP (OWNER)
(757) 647-9138
Entity
Organization
Contact information
Practice address
2413 KENSTOCK DR, VIRGINIA BEACH, VA 23454-3310
(757) 647-9138
Mailing address
2413 KENSTOCK DR, VIRGINIA BEACH, VA 23454-3310
(757) 647-9138
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780219105
SPEECH
VA
Enumeration date
10/16/2020
Last updated
10/16/2020
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