Provider Demographics
NPI:1942010079
Name:NEW RIVER VALLEY SPEECH THERAPY LLC
Entity type:Organization
Organization Name:NEW RIVER VALLEY SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KAREE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:330-265-5609
Mailing Address - Street 1:333 LESTER RD NW
Mailing Address - Street 2:
Mailing Address - City:RINER
Mailing Address - State:VA
Mailing Address - Zip Code:24149-3538
Mailing Address - Country:US
Mailing Address - Phone:330-265-5609
Mailing Address - Fax:
Practice Address - Street 1:333 LESTER RD NW
Practice Address - Street 2:
Practice Address - City:RINER
Practice Address - State:VA
Practice Address - Zip Code:24149-3538
Practice Address - Country:US
Practice Address - Phone:330-265-5609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech