Individual
SONIA I LOPEZ-MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7703 GROMWELL CT, SPRINGFIELD, VA 22152-3128
(571) 340-6704
Mailing address
7703 GROMWELL CT, SPRINGFIELD, VA 22152-3128
(571) 340-6704
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006273
VA
Other
Enumeration date
04/07/2011
Last updated
02/25/2013
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