Doctor Name: | DANIELLE FLETCHER |
NPI Number: | 1760840920 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2202007916 |
Business Practice Address: | 3900 Jermantown Rd Suite 150 Fairfax, VA - 220304900 |
Business Phone Number: | 7039105006 |
Business Fax Number: | |
Mailing Address: | 3900 Jermantown Rd, Suite 150 FAIRFAX |
State: | VA |
Postal Code: | 220304900 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 02/03/2016 |
NPI Last Update Date: | 02/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202007916 |
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 |