Individual
JESSICA NEWBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 CHAIN BRIDGE RD, FAIRFAX, VA 22030-3061
(703) 934-5092
Mailing address
4315 CHAIN BRIDGE RD, FAIRFAX, VA 22030-3061
(703) 934-5092
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
000984
DC
235Z00000X
Speech-Language Pathologist
07633
MD
235Z00000X
Speech-Language Pathologist
Primary
2202008059
VA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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