Individual
ADRIENNE FULLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
454 OAK GROVE RD, COLONIAL BEACH, VA 22443-5501
(804) 224-9100
Mailing address
9642 SPRINGFIELD WOODS CIR, GLEN ALLEN, VA 23060-4106
(260) 615-0746
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2020
Last updated
08/11/2022
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