Individual
JEREMY FALK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
6700 CEDAR CROFT ST, RICHMOND, VA 23228-5154
(434) 261-5050
Mailing address
1117 SWISSVALE PL, RICHMOND, VA 23229-6016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007689
VA
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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