Individual
SANJANA JAYARAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
2251 PIMMIT DR APT 613, FALLS CHURCH, VA 22043-2818
(484) 744-3740
Mailing address
2251 PIMMIT DR APT 613, FALLS CHURCH, VA 22043-2818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP00001417
DC
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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