Carol Koch Dempsey
Individual provider Active NPI Speech-Language Pathologist · Clarksville, VA
NPI 1114414976 · NPPES record last updated Apr 17, 2018
Key facts
- NPI
- 1114414976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 2202001250 (VA)
- Practice address
- 357 Powhatan Rd
Clarksville, VA 23927-2334 - Phone
- (434) 942-1575
- NPI assigned
- Apr 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2202001250 | VA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202001250 | VA | Yes |
Addresses
Primary practice location
357 Powhatan Rd
Clarksville, VA 23927-2334
Mailing address
357 Powhatan Rd
Clarksville, VA 23927-2334
Phone (434) 942-1575
Other providers in Clarksville, VA
- Brianna Collins
- Ashley Combs
- Community Memorial Healthcenter
- Rosemary Cosselmon
- Donna Kay Dawson
- Dominion Health Medical Assoc
- Elizabeth Engelhorn
- Lacey Feezor
- Food Lion LLC
- Rasheena Goode
All providers in Clarksville, VA · Speech-Language Pathologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.