Organization Name: | WASHINGTON SPEECH-LANGUAGE PATHOLOGY GROUP PLLC |
NPI Number: | 1568743219 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIMBERLY MCPHEE (DIRECTOR) |
Mailing Address: | 11150 Fairfax Blvd Suite 500 Fairfax |
State: | VA US |
Postal Code: | 220305066 |
Phone Number: | 7035370373 |
Fax Number: | 7038657379 |
NPI Enumeration Date: | 09/07/2011 |
NPI Last Update Date: | 12/22/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006281 |
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 |