Individual
LISA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
11240 WAPLES MILL RD, SUITE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Mailing address
11240 WAPLES MILL RD, SUITE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005075
VA
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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