Individual
COLLEEN GEOGHEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
11240 WAPLES MILL RD STE 101, FAIRFAX, VA 22030-6078
(703) 237-2219
(703) 237-2729
Mailing address
3301 KRAIL ST, PHILADELPHIA, PA 19129-1526
(215) 692-4438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013584
PA
Other
Enumeration date
04/23/2019
Last updated
04/23/2019
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