Healthcare Provider Details

I. General information

NPI: 1831005750
Provider Name (Legal Business Name): VERNISHA DARA HODGE CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

VI MEDICAL FOUNDATION BUILDING, 9150 SUITE 106 & 108
ST. THOMAS VI
00802
US

IV. Provider business mailing address

PO BOX 9934
ST THOMAS VI
00801-2934
US

V. Phone/Fax

Practice location:
  • Phone: 340-473-5924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP200001893
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: