Individual
SPENCER E BENFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8115 GATEHOUSE RD, FALLS CHURCH, VA 22042-1203
(832) 236-5529
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(281) 716-5756
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
116103
TX
235Z00000X
Speech-Language Pathologist
Primary
2202010062
VA
Other
Enumeration date
07/29/2021
Last updated
08/12/2021
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