Individual
MRS. ERIN P DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC SLP
Contact information
Practice address
601 CHILDREN'S LANE, 5TH FLOOR, NORFOLK, VA 23507
(757) 668-9596
Mailing address
696 MOWBRAY ARCH, #640, NORFOLK, VA 23507
(757) 627-7734
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003962
VA
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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