Individual
SHANNON BYRDSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3815 MARQUIS PL, WOODBRIDGE, VA 22192-6228
(703) 590-9874
Mailing address
2264 YORK DR # S203, WOODBRIDGE, VA 22191-5700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/02/2019
Last updated
09/02/2019
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