| Beverly Conrad, | |
|
12253 Seaford Ct, Lake Ridge, VA 22192-2356 | |
| (425) 205-0220 | |
| Not Available |
| Full Name | Beverly Conrad |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 12253 Seaford Ct, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508275660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 2202001340 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Conrad, 12253 Seaford Ct, Lake Ridge, VA 22192-2356 Ph: (425) 205-0220 | Beverly Conrad, 12253 Seaford Ct, Lake Ridge, VA 22192-2356 Ph: (425) 205-0220 |
Djfg Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11358 Bacon Race Rd, Lake Ridge, VA 22192 Phone: 973-902-6852 | |
Michelle Rainville, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 12191 Clipper Dr, Lake Ridge, VA 22192 Phone: 703-496-3400 |