Healthcare Provider Details

I. General information

NPI: 1851007116
Provider Name (Legal Business Name): CHATTERBOX CHILDREN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 WESTBURY DR
RICHMOND VA
23229-4830
US

IV. Provider business mailing address

1607 WESTBURY DR
RICHMOND VA
23229-4830
US

V. Phone/Fax

Practice location:
  • Phone: 804-310-7506
  • Fax:
Mailing address:
  • Phone: 804-310-7506
  • Fax:

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 Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSICA AUSTIN SHAMBURGER
Title or Position: OWNER
Credential: MSP
Phone: 804-310-7506