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KIERNAN SPEECH THERAPY LLC NPI 1912455023


NPI Information

NPI: 1912455023
Provider Name: KIERNAN SPEECH THERAPY LLC

Doing Business As: SHORE THERAPY GROUP

Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

CLIA Number: 49D0228333

Address:
1100 VOLVO PKWY STE 320
CHESAPEAKE, VA
ZIP 23320
Phone: (757) 606-0531
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KIERNAN SPEECH THERAPY LLC is a hearing and speech clinic center in Chesapeake, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. KIERNAN SPEECH THERAPY LLC NPI is 1912455023. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shore Therapy Group.

The provider's business location address is:

1100 VOLVO PKWY STE 320
CHESAPEAKE, VA
ZIP 23320-341
Phone: (757) 606-0531
Fax: (866) 288-0815

The provider's authorized official is Alyssa Kiernan .
The authorized official title is Owner and has the following contact phone number (757) 606-0531.

The CLIA number assigned to this NPI record is 49D0228333 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/18/2016 and was last updated on 11/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208100000XPhysical Medicine & RehabilitationNo
2261QH0700XClinic/CenterHearing and Speech2202007680VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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