Organization
THE SPEECH VILLAGE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN KELLY MCCOLLOM MS, CCC-SLP (CEO)
(703) 828-5226
Entity
Organization
Contact information
Practice address
3050 SILENT VALLEY DR, FAIRFAX, VA 22031-2043
(703) 828-5226
Mailing address
3057 NUTLEY ST # 185, FAIRFAX, VA 22031-1931
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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