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Organization

ROANOKE VALLEY SPEECH AND HEARING CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. J ANDREE' BROOKS PHR (PRESIDENT)
(540) 343-0165
Entity
Organization

Contact information

Practice address
2030 COLONIAL AVE. SW, ROANOKE, VA 24015-3204
(540) 343-0165
(540) 345-4664
Mailing address
2030 COLONIAL AVE. SW, ROANOKE, VA 24015-3204
(540) 343-0165
(540) 345-4664

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000601
VA
235Z00000X
Speech-Language Pathologist
237600000X
Audiologist-Hearing Aid Fitter
2101001443
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007768446
AETNA
VA
01
0007790506
AETNA
VA
01
0007926527
AETNA
VA
05
004978331
VA
05
010197554
VA
05
010319544
VA
01
195182
ANTHEM
VA
01
240052
MAMSI
VA
01
282756
MAMSI
VA
01
297809
MAMSI
VA
01
384444
ANTHEM
VA
01
7088632
AETNA
VA
Enumeration date
10/27/2006
Last updated
04/14/2009
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