Organization Name: | PROGRESSIVE SPEECH THERAPY |
NPI Number: | 1245592021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | POOJA AGGARWAL (OWNER/DIRECTOR, SPEECH PATHOLOGIST) |
Mailing Address: | 44121 Harry Byrd Hwy Suite 255 Ashburn |
State: | VA US |
Postal Code: | 201475667 |
Phone Number: | 5712466495 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2012 |
NPI Last Update Date: | 06/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004866 |
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 |