Doctor Name: | SONIA OH |
NPI Number: | 1437410453 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 2202006649 |
Business Practice Address: | 8111 Tis Well Dr Alexandria, VA - 223063211 |
Business Phone Number: | 7033373349 |
Business Fax Number: | |
Mailing Address: | 13560 Tabscott Dr, CHANTILLY |
State: | VA |
Postal Code: | 201512741 |
Phone Number: | 5712130456 |
Fax Number: | |
NPI Enumeration Date: | 06/06/2012 |
NPI Last Update Date: | 06/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006649 |
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 |