Individual
AMANDA DEANGELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7617 LITTLE RIVER TPKE, SUITE 310, ANNANDALE, VA 22003-2603
(703) 941-7757
Mailing address
7617 LITTLE RIVER TPKE, SUITE 310, ANNANDALE, VA 22003-2603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006709
VA
Other
Enumeration date
07/05/2012
Last updated
05/08/2014
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