Individual
IAN MARKUS PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA CF-SLP
Contact information
Practice address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
(703) 619-8000
Mailing address
1340 BRADDOCK PL, ALEXANDRIA, VA 22314-1693
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001117
VA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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