Individual
MARI MIYAMOTO HAYASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD/CCC-SLP
Contact information
Practice address
8409 N RUN MEDICAL DR, MECHANICSVILLE, VA 23116-2309
(804) 569-6240
(804) 569-6244
Mailing address
8409 N RUN MEDICAL DR, MECHANICSVILLE, VA 23116-2309
(804) 569-6240
(804) 569-6244
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
101048206
VA
235Z00000X
Speech-Language Pathologist
2202001577
VA
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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