Individual
SUSAN LYFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
40 SCHOOL DR, COLLINSVILLE, VA 24078-2300
(276) 647-7676
Mailing address
40 SCHOOL DR, COLLINSVILLE, VA 24078-2300
(276) 647-7676
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000591
VA
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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