Organization
SHENANDOAH SOUNDSTART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE LOPEZ MA, CCC-SLP (OWNER/ SPEECH LANGUAGE PATHOLOGIST)
(540) 514-8486
Entity
Organization
Contact information
Practice address
1330 AMHERST ST STE D, WINCHESTER, VA 22601-3020
(540) 514-8486
(540) 301-3618
Mailing address
1330 AMHERST ST, SUITE D, WINCHESTER, VA 22601-3000
(540) 514-8486
(540) 301-3618
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008058
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891976163
—
VA
Enumeration date
08/28/2016
Last updated
04/05/2018
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