Individual
LORRAINE BOARDLEY THOMPSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
436 PROVIDENCE RD, CHESAPEAKE, VA 23325-4603
(757) 578-7060
Mailing address
605 MILE CREEK LN, CHESAPEAKE, VA 23322-1279
(757) 642-7452
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002648
VA
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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