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Contact Information

EASTERN SHORE COMMUNITY SERVICES BOARD
15150 MERRY CAT LANE
BELLE HAVEN, VA23306
 Phone: 757-442-7599
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for EASTERN SHORE COMMUNITY SERVICES BOARD · (Female)

NPI # 1821283722
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2007
Last updated 01/21/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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