MEDICARE: FIRST WORDS, INC.

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	2202004822	VA

General Provider Information

NPI Number	:	1811215882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST WORDS, INC.

Provider Business Mailing Address
First Line	:	PO BOX 2001
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22902-2001
Country	:	US
Telephone Number	:	434-825-7117
Fax Number	:	434-244-3200

Provider Business Practice Location Address
First Line	:	1016 ALTAVISTA AVE
Second Line	:
City	:	CHARLOTTESVILLE
State	:	VA
Zip	:	22902-6206
Country	:	US
Telephone Number	:	434-825-7117
Fax Number	:	434-244-3200

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	JESSICA JEROME NORTON
Credential	:	M.S., CCC-SLP
Telephone Number	:	434-825-7117

Provider Enumeration Date	:	05/14/2010
Last Update Date	:	05/14/2010

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Directions to “FIRST WORDS, INC. ” Practice Location

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