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Organization
BLUE RIDGE SPEECH & HEARING CENTER OF LOUDOUN COUNTY, INC.
Active
Organization
BLUE RIDGE SPEECH & HEARING CENTER OF LOUDOUN COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE FOSQUE (EXECUTIVE DIRECTOR)
(703) 858-7620
Entity
Organization
Contact information
Practice address
19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-8446
(703) 858-7620
(703) 858-7657
Mailing address
19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-8446
(703) 858-7620
(703) 858-7657
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4978196
—
VA
Enumeration date
06/13/2006
Last updated
06/17/2020
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