Individual
PAULA WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 WILLOW AVE, CHESAPEAKE, VA 23325-3939
(757) 274-9727
Mailing address
1501 WILLOW AVE, CHESAPEAKE, VA 23325-3939
(757) 274-9727
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002597
VA
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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