Little River Speech & Language
Clinic/Center, Hearing and Speech in Annandale, VA. Organization (NPI-2).
NPI number1063009488
StatusActive
Last updated in NPPESDec 31, 2020
Details
- NPI
- 1063009488
- Entity type
- Organization (NPI-2)
- Legal business name
- Little River Speech & Language
- Organization subpart
- No
- Enumeration date
- Dec 31, 2020
- Certification date
- Dec 31, 2020
- Last updated
- Dec 31, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | Yes |
Practice location
4503 Buffalo TrceAnnandale, VA 22003-4518
Phone 404-606-0355
Mailing address
4503 Buffalo TrceAnnandale, VA 22003-4518
Authorized official
Lauren Matz
Owner
4046060355
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