Individual
HOLLEY BOOHER VAUGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 561-8165
(540) 561-8162
Mailing address
5937 COVE RD, ROANOKE, VA 24019-2403
(540) 561-8165
(540) 561-8162
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002281
VA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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