| Delta Speech Therapy Llc | |
|
710 Mobjack Pl Newport News VA 23606-1957 | |
| (757) 260-5507 | |
| (757) 208-1046 |
| Full Name | Delta Speech Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 710 Mobjack Pl, Newport News, Virginia |
| Authorized Official Name and Position | Jennifer Jones-hicks (CO-OWNER/CEO) |
| Authorized Official Contact | 7578802468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Delta Speech Therapy Llc 710 Mobjack Pl Newport News VA 23606-1957 Ph: (757) 260-5507 | Delta Speech Therapy Llc 710 Mobjack Pl Newport News VA 23606-1957 Ph: (757) 260-5507 |
| NPI Number | 1659133783 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 04/11/2026 |
| Certification Date | 04/11/2026 |
| Medicare PECOS PAC ID | 6204274632 |
|---|---|
| Medicare Enrollment ID | O20240404002365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659133783 | NPI | - | NPPES |
| Provider Name | Jennifer Jones-hicks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790132173 PECOS PAC ID: 6204161003 Enrollment ID: I20240404002606 |
| Provider Name | Ebony Bradby |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942935184 PECOS PAC ID: 7416474283 Enrollment ID: I20250506000145 |
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