Individual
CORRY SUMMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
4656 LIVINGSTON RD SE, WASHINGTON, DC 20032-3149
(202) 519-0982
Mailing address
3000 GOFFS FALLS RD STE 101, MANCHESTER, NH 03103-6109
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11096
NC
235Z00000X
Speech-Language Pathologist
SA12982
FL
235Z00000X
Speech-Language Pathologist
Primary
SL011571
PA
Other
Enumeration date
07/25/2017
Last updated
10/30/2023
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