Beverly Conrad
NPI #1508275660 in Lake Ridge, Virginia
Provider Information
- NPI Number
- 1508275660
- Entity Type
- Individual
- Name
- Beverly Conrad
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Aug 3, 2014
- Last Updated
- Aug 3, 2014
Practice Location
- Address
- 12253 SEAFORD CT
- City
- Lake Ridge
- State
- Virginia
- ZIP Code
- 22192-2356
- Phone
- (425) 205-0220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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