Provider Demographics
NPI:1548750722
Name:ANDREWS, RAYMOND W III (MA, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:RAYMOND
Middle Name:W
Last Name:ANDREWS
Suffix:III
Gender:M
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 COURT ST
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-1604
Mailing Address - Country:US
Mailing Address - Phone:434-515-5000
Mailing Address - Fax:
Practice Address - Street 1:3101 WARDS FERRY ROAD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502
Practice Address - Country:US
Practice Address - Phone:434-515-5400
Practice Address - Fax:434-515-1137
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist