Doctor Name: | MRS. KAREN A FACKNER |
NPI Number: | 1225364581 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2202005907 |
Business Practice Address: | 2765 Jefferson Davis Hwy Stafford, VA - 225548331 |
Business Phone Number: | 5407202261 |
Business Fax Number: | 5407205660 |
Mailing Address: | 6165 Fuller Ct, ALEXANDRIA |
State: | VA |
Postal Code: | 223102541 |
Phone Number: | 5407202261 |
Fax Number: | 5407205660 |
NPI Enumeration Date: | 10/21/2009 |
NPI Last Update Date: | 07/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202005907 |
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 |