Diedre Anne Dennis MA, CCC/SLP

NPI 1104054246 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1104054246
Gender Female
Enumeration Date 06/28/2009
Last Updated 08/28/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
2121 EISENHOWER AVE
SUITE #234
ALEXANDRIA VA, 22314-4698, US
Phone (703) 850-0872
Fax
Business Location
2121 EISENHOWER AVE
SUITE #234
ALEXANDRIA VA, 22314-4698, US
Phone (703) 850-0872
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Virginia
License Number 2202004567
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According to our database, Diedre Anne Dennis MA, CCC/SLP NPI is 1104054246, taxonomy code is 235Z00000X and license number is 2202004567, license state is located at Virginia. Diedre Anne Dennis MA, CCC/SLP physically located at 2121 Eisenhower Ave, Alexandria VA, 22314-4698. NPI Number Diedre Anne Dennis MA, CCC/SLP has the Individual type.

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1104054246 NPI number is provided on an as is basis without warranty of any kind. 1104054246 is maintained by the National Plan & Provider Enumeration System. The contents of Diedre Anne Dennis MA, CCC/SLP are for informational purposes only.