Individual
KRISTIN YOSHIKO DATTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
20130 LAKEVIEW CENTER PLZ STE 400, ASHBURN, VA 20147-5905
(847) 751-0045
Mailing address
2741 LOCH HAVEN DR, IJAMSVILLE, MD 21754-8815
(661) 618-0861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
MD
Other
Enumeration date
10/08/2020
Last updated
12/04/2024
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