Individual
GORDON DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
200 CHAPEL HOLLOW RD, AFTON, VA 22920-3145
(434) 361-1791
(434) 361-1791
Mailing address
200 CHAPEL HOLLOW RD, AFTON, VA 22920-3145
(434) 361-1791
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2203000097
VA
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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