Individual
MRS. JAIME ANN YOUNG VAN ECHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
8060 GRACIE DR, MANASSAS, VA 20112-3738
(540) 446-8868
Mailing address
8060 GRACIE DR, MANASSAS, VA 20112-3738
(540) 446-8868
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004687
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010126941
—
VA
Enumeration date
12/11/2006
Last updated
03/08/2023
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