Healthcare Provider Details

I. General information

NPI: 1578384814
Provider Name (Legal Business Name): MAY PARDINI CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/21/2024
Last Update Date: 10/21/2024
Certification Date: 09/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FRANKLIN ST
HAMPTON VA
23669-3568
US

IV. Provider business mailing address

933 SIR WILFRED CIR
VIRGINIA BEACH VA
23452-4653
US

V. Phone/Fax

Practice location:
  • Phone: 757-727-2000
  • Fax:
Mailing address:
  • Phone: 571-205-5093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22040015500
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: