Individual
MRS. KELLY H. VEENSTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 707-0706
Mailing address
12052 N SHORE DR, RESTON, VA 20190-4969
(703) 707-0706
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004691
VA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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