Doctor Name: | MARIA KOROSSY |
NPI Number: | 1134566649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2202006608 |
Business Practice Address: | 7430 Spring Village Dr Springfield, VA - 221504446 |
Business Phone Number: | 7039234684 |
Business Fax Number: | 7039234681 |
Mailing Address: | 7430 Spring Village Dr, SPRINGFIELD |
State: | VA |
Postal Code: | 221504446 |
Phone Number: | 7039234684 |
Fax Number: | 7039234681 |
NPI Enumeration Date: | 05/24/2013 |
NPI Last Update Date: | 05/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006608 |
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 |