Doctor Name: | MRS. KAREN N WIRES |
NPI Number: | 1972704575 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC,SLP |
License Number: | 2202003015 |
Business Practice Address: | 3959 Pender Dr Suite 320 Fairfax, VA - 220306041 |
Business Phone Number: | 7033523822 |
Business Fax Number: | 7033858353 |
Mailing Address: | 4900 English Dr, ANNANDALE |
State: | VA |
Postal Code: | 220034330 |
Phone Number: | 7037648051 |
Fax Number: | 7033858353 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202003015 |
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 |