Individual
KRISTA GOOVAERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
25478 SCHOOLEY MILL TER, CHANTILLY, VA 20152-5797
(973) 534-7558
Mailing address
25478 SCHOOLEY MILL TER, CHANTILLY, VA 20152-5797
(973) 534-7558
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VA
Other
Enumeration date
06/17/2014
Last updated
11/13/2017
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