Kerry Jaskunas Wilson, M.A., CCC-SLP
Speech-Language Pathologist, in Oakton, VA. Individual provider (NPI-1).
NPI number1982802500
StatusActive
Last updated in NPPESSep 16, 2008
Details
- NPI
- 1982802500
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kerry Jaskunas Wilson
- Credential
- M.A., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2007
- Last updated
- Sep 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 2202003225 | VA | Yes |
Practice location
3137 Trenholm DrOakton, VA 22124-1329
Phone 703-865-4879
Mailing address
3137 Trenholm DrOakton, VA 22124-1329
Phone 703-865-4879
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