Organization
LITTLE RIVER SPEECH & LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MATZ M.S., CCC-SLP (OWNER)
(404) 606-0355
Entity
Organization
Contact information
Practice address
4503 BUFFALO TRCE, ANNANDALE, VA 22003-4518
(404) 606-0355
Mailing address
4503 BUFFALO TRCE, ANNANDALE, VA 22003-4518
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2020
Last updated
12/31/2020
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