Individual
MRS. LYDIA MARIE JANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
12997 NETTLES DR, NEWPORT NEWS, VA 23602-6913
(757) 249-8880
Mailing address
12997 NETTLES DR, NEWPORT NEWS, VA 23602-6913
(757) 249-8880
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008422
VA
Other
Enumeration date
01/14/2017
Last updated
01/14/2017
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