Darlene S Gorman

Individual provider Active NPI Speech-Language Pathologist · Hardy, VA

NPI 1437612702 · NPPES record last updated Apr 12, 2019

Key facts

NPI
1437612702
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
2202007693 (VA)
Practice address
115 Retirement Dr
Hardy, VA 24101-3988
Phone
(540) 719-2900
NPI assigned
Apr 12, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2202007693VAMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202007693 VA Yes

Addresses

Primary practice location

115 Retirement Dr
Hardy, VA 24101-3988

Mailing address

479 Boxwoodgreen Dr
Wirtz, VA 24184-2712
Phone (804) 921-3942

Other providers in Hardy, VA

All providers in Hardy, VA · Speech-Language Pathologist in Virginia

Sources for this page

Verify at the official NPI Registry.