MEDICARE: CHATTERBOX CHILDREN LLC

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
2	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1851007116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHATTERBOX CHILDREN LLC

Provider Business Mailing Address
First Line	:	1607 WESTBURY DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4830
Country	:	US
Telephone Number	:	804-310-7506
Fax Number	:

Provider Business Practice Location Address
First Line	:	1607 WESTBURY DR
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23229-4830
Country	:	US
Telephone Number	:	804-310-7506
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JESSICA AUSTIN SHAMBURGER
Credential	:	MSP
Telephone Number	:	804-310-7506

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	04/11/2023

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Directions to “CHATTERBOX CHILDREN LLC ” Practice Location

Language	Start Address	Practice Location

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