Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Beverly Conrad

Individual provider Speech-Language Pathologist · NPI 1508275660

Beverly Conrad is a Speech-Language Pathologist in Lake Ridge, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2014
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Practice location Address checks out

12253 Seaford Ct
Lake Ridge, VA 22192-2356
Phone: (425) 205-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 2202001340 (VA)

Record details

NPI number1508275660
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 3, 2014
Last updated in NPPESAugust 3, 2014
Mailing address12253 Seaford Ct, Lake Ridge, VA 22192-2356

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