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General NPI Number Information
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NPI Number | 1790643625
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Entity Type | Organization
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Legal Business Name | SPEECH HAVEN
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 36097 FAWN LN
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City | LOCUST GROVE
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State | VA
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Zip | 22508-3153
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Country | US
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Telephone | 757-710-7786
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Fax |
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Provider Business Mailing Address
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Address Line | 36097 FAWN LN
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City | LOCUST GROVE
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State | VA
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Zip | 22508-3153
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Country | US
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Telephone | 757-710-7786
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JAYLAH JONES
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Credential | M.ED.,C-SLPA
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Telephone | 757-710-7786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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