Individual
SALLY FLYNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6506 LOISDALE RD, SUITE 302, SPRINGFIELD, VA 22150-1824
(703) 401-9514
Mailing address
6506 LOISDALE RD, SUITE 302, SPRINGFIELD, VA 22150-1824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007185
VA
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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