NPI 1104349380

Tyiesha Elliott

Practitioner Speech-Language Pathologist Glen Allen, VA

Practice location

Address: 4413 Cox Rd, Glen Allen, VA 23060-3326
Phone: (804) 386-0485
Mailing address: 11343 Pine Needles Dr, Providence Forge, VA 23140-3487

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2202008615 (VA)

Other Speech-Language Pathologist providers in Virginia →

Registry record

NPI: 1104349380
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2017
Record last updated: 19 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.