Organization
COVENANT SPEECH TX PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY LARRY FLUDD MPS (ADMINISTRATOR)
(757) 715-0705
Entity
Organization
Contact information
Practice address
33 ST JOHNS DR, HAMPTON, VA 23666-4167
(757) 715-0705
(757) 838-2582
Mailing address
33 ST JOHNS DR, HAMPTON, VA 23666-4167
(757) 715-0705
(757) 838-2582
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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