| Doctor Name: | MCKENZIE LEIGH ROSS |
| NPI Number: | 1013374248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S./CCC-SLP |
| License Number: | 2202008084 |
| Business Practice Address: | 7001a Loisdale Rd Springfield, VA - 221501904 |
| Business Phone Number: | 7039710602 |
| Business Fax Number: | |
| Mailing Address: | 4425 Dixie Hill Rd Apt 304, FAIRFAX |
| State: | VA |
| Postal Code: | 220309089 |
| Phone Number: | 3046631136 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2016 |
| NPI Last Update Date: | 01/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202008084 |
| 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 |