Individual
PHOEBE CLAIRE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8101 HINSON FARM RD STE 118, ALEXANDRIA, VA 22306-3404
(703) 705-2151
Mailing address
401 HOLLAND LN APT 1521, ALEXANDRIA, VA 22314-3446
(305) 812-0389
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000748
VA
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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