Individual
GRAZIELLE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Mailing address
4560 SOUTH BLVD STE 310, VIRGINIA BEACH, VA 23452-1160
(757) 490-3223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
100697
TX
235Z00000X
Speech-Language Pathologist
2202003740
VA
235Z00000X
Speech-Language Pathologist
30002329
NC
Other
Enumeration date
08/07/2007
Last updated
08/26/2024
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