Individual
GREGORY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
6011 ROCKTON CT, CENTREVILLE, VA 20121-3083
(703) 209-0241
(703) 266-3403
Mailing address
6011 ROCKTON CT, CENTREVILLE, VA 20121-3083
(703) 209-0241
(703) 266-3403
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004541
VA
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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