Individual
AMY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
7617 LITTLE RIVER TURNPIKE, SUITE 310, ANNANDALE, VA 22003
(703) 941-7757
Mailing address
10115 RANGER ROAD, FAIRFAX, VA 22030
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006643
VA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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