Individual
DANIELLE KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
41 OLD OYSTER POINT RD STE E, NEWPORT NEWS, VA 23602-7177
(757) 223-1466
(757) 233-1467
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000540
VA
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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