Organization
COMMUNIKIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER DENISE FREE (SPEECH LANGUAGE PATHOLOGIST)
(703) 910-3321
Entity
Organization
Contact information
Practice address
6920 BRADDOCK ROAD, SUITE B618, ANNANDALE, VA 22003
(703) 910-3321
Mailing address
6920 BRADDOCK ROAD, SUITE B618, ANNANDALE, VA 22003
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
2202005653
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13798714
CAQH ID
—
01
—
2202005653
VA SLP LICENSE
VA
Enumeration date
07/03/2017
Last updated
06/16/2018
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