Individual
SAMANTHA CAPOZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MARSHALL AVE, NORFOLK, VA 23504-2930
(757) 628-3112
Mailing address
1300 MARSHALL AVE, NORFOLK, VA 23504-2930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008783
VA
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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