Doctor Name: | TAMMY L PILGRIM |
NPI Number: | 1003173899 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 2202006589 |
Business Practice Address: | 1510 Collingwood Rd Alexandria, VA - 223081605 |
Business Phone Number: | 7037656107 |
Business Fax Number: | |
Mailing Address: | 1803 Hare Ct, ALEXANDRIA |
State: | VA |
Postal Code: | 223041020 |
Phone Number: | 8438139654 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 04/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006589 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |