Individual
HEATHER DEMACIO SHIREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
21000 EDUCATION COURT, ASHBURN, VA 20148
(571) 252-1011
Mailing address
21000 EDUCATION COURT, ASHBURN, VA 20148
(571) 252-1011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002521
VA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/10/2012
Last updated
12/13/2021
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