Doctor Name: | KRISTEN MICHELLE WEST |
NPI Number: | 1174758049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 2202005746 |
Business Practice Address: | 6506 Loisdale Rd #300 Springfield, VA - 221501824 |
Business Phone Number: | 7039244100 |
Business Fax Number: | 7039240126 |
Mailing Address: | 4141 N Henderson Rd, Apartment 1117 ARLINGTON |
State: | VA |
Postal Code: | 222032486 |
Phone Number: | |
Fax Number: | 7039240126 |
NPI Enumeration Date: | 05/21/2009 |
NPI Last Update Date: | 05/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202005746 |
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 |