Individual
SALLY HAZELTON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1400 FORDHAM DR, VIRGINIA BEACH, VA 23464-5368
(757) 361-3954
Mailing address
8223 BUFFALO CT, NORFOLK, VA 23518-2953
(757) 361-3954
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001188
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4980701
—
VA
Enumeration date
12/06/2006
Last updated
07/08/2007
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