Organization Name: | PEDIATRIC FEEDING & SPEECH SOLUTIONS, PLLC |
NPI Number: | 1902109770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KELLY BENSON-VOGT (OWNER) |
Mailing Address: | 704 S King St Suite # 1 Leesburg |
State: | VA US |
Postal Code: | 201753929 |
Phone Number: | 7037712200 |
Fax Number: | 7037717080 |
NPI Enumeration Date: | 12/16/2010 |
NPI Last Update Date: | 12/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004338 |
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 |