IndividualActive
Lori Fadely
NPI 1376864843 · Early Intervention Provider Agency · Maurertown, VA
Provider details
- NPI number
- 1376864843
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
- License
- CP-391602 (VA)
Specialties & taxonomies
Agencies
Other Service Providers
Practice location
1411 Zion Church Rd
Maurertown, VA 22644
Phone: (540) 533-9651
Approximate (ZIP-level) locationGet directions
Mailing address
1411 Zion Church Rd
Maurertown, VA 22644
Registry dates
- Enumerated
- 2010-06-18
- Last updated
- 2024-12-02
- Certified
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.