Individual
BASEEMAH CUMBERBATCH-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
Mailing address
8007 CRESCENT RD, NORFOLK, VA 23505-1503
(757) 339-2416
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006319
VA
Other
Enumeration date
04/03/2013
Last updated
04/03/2013
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