Individual
TAYLOR SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
629 PHOENIX DR, VIRGINIA BEACH, VA 23452-7392
(757) 455-5000
(757) 319-4142
Mailing address
5604 VIRGINIA BEACH BLVD STE 101, VIRGINIA BEACH, VA 23462-5631
(757) 455-5000
(757) 319-4142
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008366
VA
Other
Enumeration date
04/17/2017
Last updated
11/08/2019
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