Provider Demographics
NPI:1831927334
Name:BLAIR, CHARITY JANET (CFY-SLP)
Entity type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:JANET
Last Name:BLAIR
Suffix:
Gender:F
Credentials:CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91 28TH ST APT C2
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23607-3927
Mailing Address - Country:US
Mailing Address - Phone:843-318-9971
Mailing Address - Fax:
Practice Address - Street 1:1062B W MERCURY BLVD
Practice Address - Street 2:SUITE 1062B,
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666
Practice Address - Country:US
Practice Address - Phone:757-644-0644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist