Individual
JACLYN WOODYATT PATRIZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1562 DAIRY RD, CHARLOTTESVILLE, VA 22903-1304
(434) 245-2922
Mailing address
1562 DAIRY RD, CHARLOTTESVILLE, VA 22903-1304
(434) 245-2922
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000698
DC
Other
Enumeration date
03/18/2014
Last updated
08/14/2023
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