Organization
CORNERSTONE THERAPY CENTER & PRESCHOOL, LLC
Active
Other names
South Riding Speech Therapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFER MARY SHOCKLEY M.A., CCC-SLP, L (SPEECH-LANGUAGE PATHOLOGIST)
(703) 327-5323
Entity
Organization
Contact information
Practice address
43453 PARISH ST, SOUTH RIDING, VA 20152-2522
(703) 327-5323
(703) 327-5323
Mailing address
43453 PARISH ST, SOUTH RIDING, VA 20152-2522
(703) 327-5323
(703) 327-5323
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
2202003982
VA
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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