Organization
SPEECH 4 KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA A POTTEIGER (BILLING MANAGER)
(703) 622-7080
Entity
Organization
Contact information
Practice address
12802 NATHAN CT, HERNDON, VA 20170-2956
(703) 732-7313
(703) 940-8377
Mailing address
15643 HENNINGFORD RD, CHESTERFIELD, VA 23832-2134
(703) 732-7313
(703) 940-8377
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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