Healthcare Provider Details

I. General information

NPI: 1356257562
Provider Name (Legal Business Name): PHOEBE SAINT CATHERINE BILBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N MAIN ST
SUFFOLK VA
23434-4529
US

IV. Provider business mailing address

5252 PRUDEN BLVD
SUFFOLK VA
23434-6844
US

V. Phone/Fax

Practice location:
  • Phone: 757-925-6750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2204001751
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: