| Tidewater Therapy For Children, Pc | |
|
4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | |
| (757) 488-2864 | |
| (757) 488-4735 |
| Full Name | Tidewater Therapy For Children, Pc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 4016 Raintree Rd, Chesapeake, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174549000 | NPI | - | NPPES |
| 57442 | Other | VA | OPTIMA ST PROVIDER # |
| 194324 | Other | VA | ANTHEM BC & HK ST PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tidewater Therapy For Children, Pc 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 Ph: (757) 488-2864 | Tidewater Therapy For Children, Pc 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 Ph: (757) 488-2864 |
Allison Huttenbrauck, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 715 Argyll St, Chesapeake, VA 23320 Phone: 757-547-4528 Fax: 757-547-0632 | |
Peyton Hall, M.S. SLP-CF Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 Phone: 757-881-1137 Fax: 757-881-1138 | |
Ms. Lori Catherine Sandoval, MSCCCSLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 309 Sweetbay Dr, Chesapeake, VA 23322 Phone: 757-546-8081 | |
Ms. Catherine M. Walters, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 109 Benefit Rd, Chesapeake, VA 23322 Phone: 757-421-7080 | |
Alyssa Boone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1968 Bruin Pl, Chesapeake, VA 23321 Phone: 757-638-7900 | |
Miss Marcella Yuvonne Smith, SPEECH PATHOLOGIST Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2248 Averill Dr, Chesapeake, VA 23323 Phone: 757-558-8923 Fax: 757-558-4486 | |
Kalen Michelle Stankoski, M.A.,CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2901 Guenevere Dr, Chesapeake, VA 23323 Phone: 757-558-5347 |