Organization
THE CHESAPEAKE CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON FORE (HR GENERALIST)
(703) 924-4122
Entity
Organization
Contact information
Practice address
6506 LOISDALE RD, SUITE 300, SPRINGFIELD, VA 22150-1824
(703) 924-4122
(703) 924-0126
Mailing address
9110 ASPENPARK CT, LORTON, VA 22079-1846
(703) 924-0126
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004710
VA
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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