Organization
KIERNAN SPEECH THERAPY LLC
Active
Other names
Tidewater Swallowing Diagnostics, Shore Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA KIERNAN M.S. CCC-SLP, CBIS (OWNER)
(757) 606-0531
Entity
Organization
Contact information
Practice address
1100 VOLVO PKWY STE 320, CHESAPEAKE, VA 23320-3341
(757) 606-0531
(866) 288-0815
Mailing address
1100 VOLVO PKWY STE 320, CHESAPEAKE, VA 23320-3341
(757) 606-0531
(866) 288-0815
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
2202007680
VA
Other
Enumeration date
09/18/2016
Last updated
11/18/2022
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