Organization
SPEECH PATH EARLY INTERVENTION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CARLTON (OWNER)
(804) 814-6250
Entity
Organization
Contact information
Practice address
5706 BRADINGTON CT, GLEN ALLEN, VA 23059-6941
(804) 814-6250
Mailing address
5706 BRADINGTON CT, GLEN ALLEN, VA 23059-6941
(804) 814-6250
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/09/2022
Last updated
07/03/2023
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