Individual
HEATHER ALYSA PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS SLP LLL
Contact information
Practice address
6506 LOISDALE RD, SUITE #300, SPRINGFIELD, VA 22150
(703) 924-4183
(703) 922-0638
Mailing address
1824 BELMONT RD NW, #31, WASHINGTON, DC 20009
(202) 425-6874
(703) 922-0638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12074933
VA
Other
Enumeration date
12/22/2005
Last updated
07/08/2007
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