Organization
PEDIATRICS FIRST SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAYE MICHELLE STEWART-TOOSON M.A.CCC-SLP (DIRECTOR/LEAD THERAPIST)
(703) 367-0400
Entity
Organization
Contact information
Practice address
10056 PENTLAND HILLS WAY, BRISTOW, VA 20136
(703) 367-0400
(703) 880-7411
Mailing address
12841 BRAEMAR VILLAGE PLAZA 132 BRISTOW, BRISTOW, VA 20136
(703) 367-0400
(703) 880-7411
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003950
VA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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