Organization
EARLY SPEECH PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEEBA RACHEL KOSHY SLP, MS CCC (SPEECH AND LANGUAGE PATHOLOGIST)
(845) 206-8666
Entity
Organization
Contact information
Practice address
25 CATOCTIN CIR SE UNIT 4042, LEESBURG, VA 20175-3625
(703) 261-9283
Mailing address
25 CATOCTIN CIR SE UNIT 4042, LEESBURG, VA 20175-3625
(703) 261-9283
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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