Individual
MS. LYNN A. KONNERTH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
10023 BLACK CT, FAIRFAX, VA 22032-2307
(703) 503-3216
Mailing address
10023 BLACK CT, FAIRFAX, VA 22032-2307
(703) 503-3216
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003045
VA
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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