Individual
MISS JESSICA AUSTIN SHAMBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP
Contact information
Practice address
1607 WESTBURY DR, RICHMOND, VA 23229-4830
(803) 359-3195
Mailing address
1607 WESTBURY DR, RICHMOND, VA 23229-4830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.4956SPIN
SC
Other
Enumeration date
09/11/2011
Last updated
08/07/2024
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