Individual
KASHA MUSTIN HEREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
4715 HELENSBURGH DR APT 201, CHESAPEAKE, VA 23321-5033
(757) 304-6282
Mailing address
4715 HELENSBURGH DR APT 201, CHESAPEAKE, VA 23321-5033
(757) 304-6282
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005868
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004979061
—
VA
Enumeration date
09/22/2009
Last updated
07/01/2021
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