Healthcare Provider Details

I. General information

NPI: 1598872590
Provider Name (Legal Business Name): CHILDHOOD LANG CNTR AT RICH. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4202 HERMITAGE RD
RICHMOND VA
23227-3755
US

IV. Provider business mailing address

4202 HERMITAGE RD
RICHMOND VA
23227-3755
US

V. Phone/Fax

Practice location:
  • Phone: 804-266-6699
  • Fax: 804-264-5988
Mailing address:
  • Phone: 804-266-6699
  • Fax: 804-264-5988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ROBIN KAYE OLIVIER
Title or Position: EXECUTIVE DIRECTOR
Credential: CCC-SLP
Phone: 804-266-6699