Individual
CYNTHIA LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12806 FALCON WOOD PL, FAIRFAX, VA 22033-2239
(703) 425-7744
Mailing address
5427 LEEWAY CT, FAIRFAX, VA 22032-3313
(703) 425-7744
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000527
VA
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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