Provider Demographics
NPI:1407263874
Name:CHIT CHAT SPEECH LANGUAGE AND HEARING
Entity Type:Organization
Organization Name:CHIT CHAT SPEECH LANGUAGE AND HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:MORGAN
Authorized Official - Last Name:RAWLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:804-307-0260
Mailing Address - Street 1:2710 W BRIGSTOCK RD
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6306
Mailing Address - Country:US
Mailing Address - Phone:804-307-0260
Mailing Address - Fax:
Practice Address - Street 1:2710 W BRIGSTOCK RD
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6306
Practice Address - Country:US
Practice Address - Phone:804-307-0260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007447235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty