TIDEWATER SPEECH AND LANGUAGE SERVICES (NPI# 1073989240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073989240 |
| Entity Type | Organization |
| Organization Name | TIDEWATER SPEECH AND LANGUAGE SERVICES |
| Other Organization Name | NORFOLK SPEECH AND LANGUAGE SERVICES |
| Practice Address |
110 Kingsley Ln Suite 209 Norfolk VA 23505-4614 |
| Practice Telephone | 7574231933 |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | PAMELA CRENSHAW (OWNER/DIRECTOR) |
| Authorized Official Telephone | 7574231933 |
| Authorized Official Credential | MA CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 2202006671 | VA | Speech, Language and Hearing Service Providers |
| Other Name | Type Code |
|---|---|
| Norfolk Speech and Language Services | Doing Business As Name - Organization |
| Street Address |
110 KINGSLEY LN SUITE 209 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23505-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459347 | Migdonia Montejo | Specialist | 110 Kingsley Ln, Suite 106, Norfolk, VA 23505-4614 | 2005-07-07 |
| 1841647120 | Kristi Meibers | Nurse Practitioner | 110 Kingsley Ln, Ste 309, Norfolk, VA 23505-4614 | 2016-05-17 |
| 1093173528 | Ebony Shanay Canady | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2016-01-28 |
| 1588036602 | Hampton Roads Pediatric Dentistry and Orthodontics, Pllc | Dentist | 110 Kingsley Ln, Ste. 403, Norfolk, VA 23505-4614 | 2015-10-28 |
| 1346632601 | Lakeisha O'neal | Social Worker | 110 Kingsley Ln, Suite 210, Norfolk, VA 23505-4614 | 2015-02-24 |
| 1023423340 | Laura Riddle | Nurse Practitioner | 110 Kingsley Ln, Suite 411, Norfolk, VA 23505-4614 | 2014-06-25 |
| 1255760997 | Anne Chisman Abraham | Social Worker | 110 Kingsley Ln, Suite 401, Norfolk, VA 23505-4614 | 2013-11-04 |
| 1184961690 | David T. Marshall, Dds, PC | Dentist | 110 Kingsley Ln, Suite 203, Norfolk, VA 23505-4614 | 2013-01-04 |
| 1003163171 | Maryview Hospital | Counselor | 110 Kingsley Ln, Ste 206, Norfolk, VA 23505-4614 | 2012-08-08 |
| 1982987301 | Sarah Kimberly Kosinski | Nurse Practitioner | 110 Kingsley Ln, Suite 312, Norfolk, VA 23505 | 2011-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154844256 | Cassandra Shelton | Specialist/Technologist, Other | 100 Kingsley Lane, Norfolk, VA 23505 | 2017-07-20 |
| 1063942852 | Gabriela Marie Santiago | Specialist/Technologist | 7600 Victory Dr, Apt 3, Norfolk, VA 23505 | 2017-06-14 |
| 1144776725 | Amr Hassan | Pharmacist | 1610 W Little Creek Rd, Apt 204, Norfolk, VA 23505 | 2016-09-01 |
| 1992175095 | Heather Mitchell | Nurse Practitioner | 110 Kingsley Ln Ste 309, Norfolk, VA 23505 | 2015-10-01 |
| 1255710620 | Jessica Ann Kestranek | Dentist | 7400 Granby St Ste D, Norfolk, VA 23505 | 2015-05-19 |
| 1710375274 | Carla Toledo | Nurse Practitioner | 155 Kingsley Lane, Suite 400, Norfolk, VA 23505 | 2015-01-06 |
| 1417359746 | James Austin Valone Jr. | Ophthalmology | 1423 Runymede Rd, Norfolk, VA 23505 | 2014-09-18 |
| 1861813370 | Harris Teeter, LLC | Pharmacy | 7550 Granby Street, Norfolk, VA 23505 | 2013-12-31 |
| 1649549361 | Linda Horsey | Social Worker | 7510 Granby Street, Suite 6, Norfolk, VA 23505 | 2011-12-27 |
| 1679705164 | Carolyn Lee Kee | Nurse's Aide | 7403 Hampton Blvd, Norfolk, VA 23505 | 2009-08-17 |
| Find all providers in zip 23505 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1417505736 | Dennis Todd Doyle | Speech-Language Pathologist | Norview High School, 6501 Chesapeake Blvd, Norfolk, VA 23513 | 2019-08-29 |
| 1043770555 | Sarah Magsakay | Speech-Language Pathologist | 2080 Tarrallton Dr, Norfolk, VA 23518-3012 | 2019-03-21 |
| 1710445572 | Lauren Elizabeth Wynant | Speech-Language Pathologist | 730 Spotswood Ave, Norfolk, VA 23517-2010 | 2019-03-11 |
| 1609344985 | Jennifer Leigh Scott | Speech-Language Pathologist | 3706 Colonial Ave, Norfolk, VA 23508-3216 | 2018-11-05 |
| 1669960258 | Dana Slepsky Robertson | Speech-Language Pathologist | 1015 W 47th Street, Norfolk, VA 23529-0001 | 2018-04-29 |
| 1205324159 | Laura R. Taliaferro | Speech-Language Pathologist | 1122 W Princess Anne Rd, Norfolk, VA 23507-1261 | 2018-04-26 |
| 1457856478 | Annette Marliese Patino-gonzalez | Speech-Language Pathologist | 5523 Pebble Ln, Norfolk, VA 23502-4409 | 2018-03-30 |
| 1417452558 | Nicole Rossignol | Speech-Language Pathologist | 501 C St, Norfolk, VA 23505-1450 | 2018-03-29 |
| 1639674674 | Cynthia Darlene Delucenay | Speech-Language Pathologist | 7600 Halprin Dr, Norfolk, VA 23518-4431 | 2018-03-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.