Autastic Avenues LLC
Speech-Language Pathologist, in Richmond, VA. Organization (NPI-2).
NPI number1275904609
StatusActive
Last updated in NPPESOct 12, 2015
Details
- NPI
- 1275904609
- Entity type
- Organization (NPI-2)
- Legal business name
- Autastic Avenues LLC
- Organization subpart
- No
- Enumeration date
- Oct 12, 2015
- Last updated
- Oct 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2202001777 | VA | Yes |
Practice location
1301 Robin Hood RoadRichmond, VA 23227
Phone 804-301-8428
Mailing address
5911 Willow Creek WayRichmond, VA 23225
Phone 804-301-8428
Authorized official
Robin McCallister
Speech/Language Pathologist
8043018428
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