Individual
MEGHAN HENNESSY FAIRBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(571) 423-4900
Mailing address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008344
VA
Other
Enumeration date
10/01/2018
Last updated
05/20/2024
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