Individual
LINDA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1850 CAMERON GLEN DR, SUITE 100, RESTON, VA 20190-3363
(703) 481-4237
Mailing address
10420 RIFLE RD, BRISTOW, VA 20136-1329
(703) 869-3748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002788
VA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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