Individual
MS. KRISTIE MICHELLE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4800 FILLMORE AVE, ALEXANDRIA, VA 22311-5070
(703) 824-1244
(703) 824-1029
Mailing address
5270 DUKE ST, #205, ALEXANDRIA, VA 22304-2943
(703) 823-5698
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004606
VA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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