Individual
MRS. BETTY R. WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
4410 CLAIBORNE SQ E STE 334, HAMPTON, VA 23666-2074
(757) 871-5558
(844) 336-3309
Mailing address
PO BOX 6204, NEWPORT NEWS, VA 23606-0204
(757) 871-5558
(844) 336-3309
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001260
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619312782
—
VA
Enumeration date
05/15/2008
Last updated
02/06/2017
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