Doctor Name: | MRS. CHERI SUSAN HOLDREDGE |
NPI Number: | 1588767800 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2202003331 |
Business Practice Address: | 237 Fairview St Nw Leesburg, VA - 201762009 |
Business Phone Number: | 5406875412 |
Business Fax Number: | |
Mailing Address: | 205 Locust Grove Dr, PURCELLVILLE |
State: | VA |
Postal Code: | 201323281 |
Phone Number: | 5403385085 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202003331 |
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 |