Organization
ELLEN EDWARDS, PLLC
Active
Other names
Reston Speech & Language Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELLEN EDWARDS M.S., CCC-SLP (DIRECTOR)
(703) 904-8334
Entity
Organization
Contact information
Practice address
626 GRANT ST STE K, HERNDON, VA 20170-4700
(703) 904-8334
(703) 904-8334
Mailing address
626 GRANT ST STE K, HERNDON, VA 20170-4700
(703) 904-8334
(703) 904-8334
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002947
VA
Other
Enumeration date
09/22/2006
Last updated
06/18/2008
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