Washington Speech-language Pathology Group Pllc

NPI 1568743219 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1568743219
Enumeration Date 09/07/2011
Last Updated 12/22/2015
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KIMBERLY KIMBERLY
Position DIRECTOR
Phone (703) 537-0373
Fax (703) 865-7379
Practice Location
11150 FAIRFAX BLVD
SUITE 500
FAIRFAX VA, 22030-5066, US
Phone (703) 537-0373
Fax (703) 865-7379
Business Location
11150 FAIRFAX BLVD
SUITE 500
FAIRFAX VA, 22030-5066, US
Phone (703) 537-0373
Fax (703) 865-7379
Toxanomy
Taxonomy Code 235Z00000X
License State Virginia
License Number 2202006281
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According to our database, Washington Speech-language Pathology Group Pllc NPI is 1568743219, taxonomy code is 235Z00000X and license number is 2202006281, license state is located at Virginia. Washington Speech-language Pathology Group Pllc physically located at 11150 Fairfax Blvd, Fairfax VA, 22030-5066. NPI Number 1033115704 has the healthcare provider type.

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1568743219 NPI number is provided on an as is basis without warranty of any kind. 1568743219 is maintained by the National Plan & Provider Enumeration System. The contents of Washington Speech-language Pathology Group Pllc are for informational purposes only.