Individual
ELLEN CHRISTINE FYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1321 LESLIE AVE, ALEXANDRIA, VA 22301-1616
(703) 548-6912
Mailing address
1321 LESLIE AVE, ALEXANDRIA, VA 22301-1616
(703) 548-6912
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
02732
MD
235Z00000X
Speech-Language Pathologist
Primary
2202007109
VA
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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