Individual
KATHLEEN MARY REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6003 MASONDALE RD, ALEXANDRIA, VA 22315-5596
(304) 488-4372
Mailing address
8934 VICTORIA RD, SPRINGFIELD, VA 22151-1137
(703) 978-1427
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004340
VA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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