Individual
DANIEL THOMAS PRAWETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(848) 459-9644
Mailing address
1414 MAISON CT APT C, VIRGINIA BEACH, VA 23451-6038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10342
MD
235Z00000X
Speech-Language Pathologist
Primary
2202011003
VA
Other
Enumeration date
03/29/2022
Last updated
09/12/2024
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