Individual
JENNIFER MICHELLE BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13890 BRADDOCK RD, SUITE 205, CENTREVILLE, VA 20121-2435
(540) 720-2261
(540) 720-5660
Mailing address
2765 JEFFERSON DAVIS HWY, SUITE 209, STAFFORD, VA 22554-8331
(540) 720-2261
(540) 720-5660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007003
VA
Other
Enumeration date
06/06/2013
Last updated
08/17/2023
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