MEDICARE: MS. SYDNEE MARIE LOFTIN MS, CF-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	2204001544	VA

General Provider Information

NPI Number	:	1073303004
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SYDNEE MARIE LOFTIN MS, CF-SLP

Provider Business Mailing Address
First Line	:	208 APPALOOSA WAY
Second Line	:
City	:	SMITHFIELD
State	:	VA
Zip	:	23430-6758
Country	:	US
Telephone Number	:	757-870-1065
Fax Number	:

Provider Business Practice Location Address
First Line	:	4110 E PARHAM RD STE 101
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23228-2776
Country	:	US
Telephone Number	:	804-672-8588
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	05/12/2025

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