Individual
MRS. STACEY ELIZABETH BROCK BERNASCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
8100 GUINEVERE DR, ANNANDALE, VA 22003-1300
(703) 645-7000
(703) 645-7097
Mailing address
8100 GUINEVERE DR, ANNANDALE, VA 22003-1300
(703) 645-7000
(703) 645-7097
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005383
VA
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
03/19/2026
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