MEDICARE: CHILD DEVELOPMENT RESOURCES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	235Z00000X	Speech-Language Pathologist
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist
4	101YP2500X	Professional Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	194409	OTHER	VA	ANTHEM - PHYSICAL THERAPY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	45084	OTHER	VA	OPTIMA
4	194410	OTHER	VA	ANTHEM - OCCUPATIONAL THE
5	194411	OTHER	VA	ANTHEM - SPEECH THERAPY

General Provider Information

NPI Number	:	1386716744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILD DEVELOPMENT RESOURCES

Provider Business Mailing Address
First Line	:	312 WALLER MILL RD
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3000
Country	:	US
Telephone Number	:	757-566-3300
Fax Number	:	757-566-8977

Provider Business Practice Location Address
First Line	:	312 WALLER MILL RD
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23185-3000
Country	:	US
Telephone Number	:	757-566-3300
Fax Number	:	757-566-8977

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. CARLA C JAVIER
Credential	:
Telephone Number	:	757-566-3300

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	04/10/2026

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Directions to “CHILD DEVELOPMENT RESOURCES ” Practice Location

Language	Start Address	Practice Location

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