Doctor Name: | KAREN CUDDEBACK |
NPI Number: | 1992149470 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 2202006162 |
Business Practice Address: | 46531 Harry Byrd Highway Sterling, VA - 20164 |
Business Phone Number: | 5403030886 |
Business Fax Number: | |
Mailing Address: | 46531 Harry Byrd Hwy, STERLING |
State: | VA |
Postal Code: | 201643555 |
Phone Number: | 5403030886 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202006162 |
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 |