Provider Demographics
NPI:1558572305
Name:CHATTERING CHILDREN
Entity Type:Organization
Organization Name:CHATTERING CHILDREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EUBANKS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:804-290-0475
Mailing Address - Street 1:1307 LAKESIDE AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-4710
Mailing Address - Country:US
Mailing Address - Phone:804-290-0475
Mailing Address - Fax:804-290-0476
Practice Address - Street 1:1307 LAKESIDE AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-4710
Practice Address - Country:US
Practice Address - Phone:804-290-0475
Practice Address - Fax:804-290-0476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2008-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001368231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2532733OtherAETNA ID 2532733 RICHMOND
VA69161OtherOPTIMA HEALTH
VA1231037OtherAETNA HMO ID# MCLEAN
VA5500795OtherAETNA ID PPO 5500795
VA1558572305OtherANTHEM BC/BS
VA=========OtherFEDERAL TAX ID