Healthcare Provider Details

I. General information

NPI: 1548105489
Provider Name (Legal Business Name): RICHARDSON SPEECH AND VOICE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1333 ARCHWAY RD
BLUE RIDGE VA
24064-2138
US

IV. Provider business mailing address

1333 ARCHWAY RD
BLUE RIDGE VA
24064-2138
US

V. Phone/Fax

Practice location:
  • Phone: 336-870-5259
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE RICHARDSON
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MA, CCC-SLP
Phone: 336-870-5259