# BLUE RIDGE SPEECH & HEARING CENTER OF LOUDOUN COUNTY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558304253
- **Authorized official:** CHARLOTTE FOSQUE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (703) 858-7620

## Contact information

- **Practice address:** 19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-8446
- **Practice address phone:** (703) 858-7620
- **Practice address fax:** (703) 858-7657
- **Mailing address:** 19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-8446
- **Mailing address phone:** (703) 858-7620
- **Mailing address fax:** (703) 858-7657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | NULL | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | — | — |
| 237700000X | Hearing Instrument Specialist | — | NULL | — |
| 237700000X | Hearing Instrument Specialist | — | — | — |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 06/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 4978196 | — | VA |