| Organization Name: | BROADLANDS SPEECH AND LANGUAGE P.C. |
| NPI Number: | 1700055720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARGIE MCPHERSON COMERFORD (CO-OWNER) |
| Mailing Address: | 42882 Truro Parish Dr Suite 206 Broadlands |
| State: | VA US |
| Postal Code: | 201484456 |
| Phone Number: | 7039990813 |
| Fax Number: | 8663148934 |
| NPI Enumeration Date: | 02/24/2008 |
| NPI Last Update Date: | 02/24/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202004747 |
| 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 |