Individual
LAURA BETH BARRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14012 RORA MOSS PL, BRISTOW, VA 20136-2648
(703) 864-6652
Mailing address
14012 RORA MOSS PL, BRISTOW, VA 20136-2648
(703) 864-6652
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004460
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978277
—
VA
Enumeration date
08/01/2012
Last updated
03/06/2013
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