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Organization

BLUE RIDGE SPEECH & HEARING CENTER OF LOUDOUN COUNTY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLOTTE FOSQUE (EXECUTIVE DIRECTOR)
(703) 858-7620
Entity
Organization

Contact information

Practice address
19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-8446
(703) 858-7620
(703) 858-7657
Mailing address
19465 DEERFIELD AVE, SUITE 201, LANSDOWNE, VA 20176-8446
(703) 858-7620
(703) 858-7657

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
235Z00000X
Speech-Language Pathologist
237600000X
Audiologist-Hearing Aid Fitter
237700000X
Hearing Instrument Specialist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4978196
VA
Enumeration date
06/13/2006
Last updated
06/17/2020
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