Organization
RICHMOND SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HADIYA COPPEDGE CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(804) 519-2845
Entity
Organization
Contact information
Practice address
7519 MONTROSE AVE, RICHMOND, VA 23227-1810
(804) 519-2845
Mailing address
7519 MONTROSE AVE, RICHMOND, VA 23227-1810
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006163
VA
252Y00000X
Early Intervention Provider Agency
2202006163
VA
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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