Provider Demographics
NPI:1073303004
Name:LOFTIN, SYDNEE MARIE (MS, CF-SLP)
Entity type:Individual
Prefix:MS
First Name:SYDNEE
Middle Name:MARIE
Last Name:LOFTIN
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 APPALOOSA WAY
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23430-6758
Mailing Address - Country:US
Mailing Address - Phone:757-870-1065
Mailing Address - Fax:
Practice Address - Street 1:4110 E PARHAM RD STE 101
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-2776
Practice Address - Country:US
Practice Address - Phone:804-672-8588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2204001544235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist