Individual
MARISSA CHARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
184 HIGH ST STE 701, BOSTON, MA 02110-3025
(800) 337-5965
Mailing address
10815 PAYNES CHURCH DR, FAIRFAX, VA 22032-2917
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204001308
VA
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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