Organization
SYNTACTICS LLC
Active
Other names
Syntacitics Speech & Language Pathology Service
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRACE PARK PH.D., CCC-SLP (OWNER, CLINICAL DIRECTOR, SLP)
(703) 729-6291
Entity
Organization
Contact information
Practice address
44081 PIPELINE PLZ STE 200, ASHBURN, VA 20147
(301) 424-7701
(301) 424-7703
Mailing address
932 HUNGERFORD DRIVE, SUITE 29A, ROCKVILLE, MD 20850-1752
(301) 424-7701
(301) 424-7703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004766
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
831BSY
CAREFIRST BCBS
MD
01
—
9350944
CIGNA
MD
01
—
K515 0001
CAREFIRST BCBS
DC
01
—
K515 0001
BCBS GHMSI
MD
Enumeration date
05/07/2007
Last updated
03/26/2019
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