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MRS. VIRGINIA CLARE TATE MCD, CCC-SLP
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1235369661
Individual Registrant:MRS. VIRGINIA CLARE TATE MCD, CCC-SLP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1502 MAIN ST GREENSBORO, AL 36744-1552 US
Tel: 334-341-4548 Fax: 334-341-5168
Tel: 334-341-4548 Fax: 334-341-5168
Contact information for business:
PO BOX 3519 MERIDIAN, MS 39303-3519 US
Tel: 601-581-1191 Fax: 601-581-3292
Tel: 601-581-1191 Fax: 601-581-3292
Registration Information:
NPI: 1235369661
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AL | 2774 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
