DR. LETICIA CARISSA CLAYTOR-HARDY


Address: 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802
Phone: 7579538906

DR. LETICIA CARISSA CLAYTOR-HARDY (NPI# 1396901419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396901419
Entity Type Individual
Full Name DR. LETICIA CARISSA CLAYTOR-HARDY
Other Name DR. TISH CARISSA CLAYTOR
Credential AU.D.
Practice Address 1721 Admiral Taussig Blvd
Norfolk
VA 23511-2802
Mailing Address Naval Medical Center Portsmouth
620 John Paul Jones Circle
Portsmouth
VA 23708
Practice Telephone 7579538906
Mailing Telephone 7579538906
Enumeration Date 2008-07-29
Last Update Date 2020-10-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 2201001417 VA Speech, Language and Hearing Service Providers
N 231H00000X Audiologist 01092 MD Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1970 Roanoke Boulevard, Salem, VA 241536404 5409822463 5402241922

Office Location

Street Address 1721 ADMIRAL TAUSSIG BLVD
City NORFOLK
State VA
Zip Code 23511-2802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588635072 Alexander Royzenblat Dentist 1721 Admiral Taussig Blvd, Sewell's Point Branch Medical Clinic, Norfolk, VA 23511-2802 2006-02-01
1558877878 Ismael Arturo Lopez Military Health Care Provider 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2017-12-22
1184133670 Jeffrey Joseph Illinik Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2017-09-27
1629525837 Matthew Squires Optometrist 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-09-06
1144775529 Volha Zarubina Just Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-08-16
1891141768 Itse Begho Student in an Organized Health Care Education/Training Program 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-05-10
1134581176 Damico Hill Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2016-03-28
1295194157 David Barclay England II Psychologist 1721 Admiral Taussig Blvd, Department of Mental Health, Norfolk, VA 23511-2802 2016-02-19
1164808598 Justin Michael Loder Physician Assistant 1721 Admiral Taussig Blvd, Norfolk, VA 23511-2802 2015-08-07
1548645179 Julie Simmons Optometrist 1721 Admiral Taussig Blvd, Optometry, Norfolk, VA 23511-2802 2015-07-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215591888 Nash Richard Galvan Military Health Care Provider 456-462 Pocahontas St, Norfolk, VA 23511 2019-04-29
1578059481 Hillary Anne Diffee Dentist Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 2018-07-03
1154860237 Alexander Blau General Practice 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 2017-02-22
1205188307 Agnes Bautista Banias Dental Hygienist 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 2012-10-12
1891052676 Conor Francis Hynes Surgery 1530 Gilbert St Ste 2000, Norfolk, VA 23511 2012-04-18
1871867747 Brian Joseph Kennerley Surgery U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 2012-02-23
1053629964 Shawnly Heath Ward Military Health Care Provider Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 2010-09-14
1225351760 Jocelyn Martinezdelgado Military Health Care Provider 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 2010-03-11
1245480854 Vanessa O Hofilena Dentist 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 2008-09-19
1780833954 Cecilia M Brownblake Dentist 1647 Admiral Taussig Blvd., Norfolk, VA 23511 2008-09-12
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831709195 Alexandra Renae Mai Audiologist 885 Kempsville Rd Ste 221, Norfolk, VA 23502-3800 2020-08-03
1518422096 Norfolk Audiology, P.C. Audiologist 109 N 29th St Ste 4, Norfolk, NE 68701-3261 2019-02-08
1386206324 Anna Eudora Louthan Audiologist 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 2019-06-30
1417443987 Adrienne Grey Audiologist 600 Gresham Dr Ste 1100, Norfolk, VA 23507 2018-07-07
1417440744 Nicole Wall Jones Audiologist 600 Gresham Dr Ste 1100, Norfolk, VA 23507 2018-06-12
1043702947 Alexandria Frances Matz Audiologist 600 Gresham Dr Ste 1100, Norfolk, VA 23507 2018-06-06
1316439904 Allen Cabahug Derina Audiologist 600 Gresham Dr Ste 1100, Norfolk, VA 23507-1904 2018-05-31
1699170043 Mia Pendergrass Audiologist 600 Gresham Dr, 1100, Norfolk, VA 23507-1904 2014-10-28
1407263734 Hannah Hodson Mclean Audiologist 600 Gresham Dr, Suite 1100, Norfolk, VA 23507-1904 2014-07-18
1124448717 Leslie Ann Shoulders Audiologist 600 Gresham Dr, 1100, Norfolk, VA 23507 2014-04-22
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Competitor

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City NORFOLK
Zip Code 23511

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Dataset Information

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.

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