Individual
AMY LYNN HASSELKUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4808 ALLENBY RD, FAIRFAX, VA 22032-2301
(703) 425-5933
(301) 897-7354
Mailing address
4808 ALLENBY RD, FAIRFAX, VA 22032-2301
(703) 425-5933
(301) 897-7354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004304
VA
Other
Enumeration date
06/18/2006
Last updated
07/08/2007
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