Organization
CHILDREN'S SPEECH AND LANGUAGE SERVICES INC.
Active
Other names
Children's Speech and Language Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA S GAINES M.A., CCC-SLP, PCI (EXECUTIVE DIRECTOR)
(703) 685-1070
Entity
Organization
Contact information
Practice address
6231 LEESBURG PIKE, SUITE 520, FALLS CHURCH, VA 22044-2102
(703) 685-1070
(703) 685-0151
Mailing address
6231 LEESBURG PIKE, SUITE 520, FALLS CHURCH, VA 22044-2102
(703) 685-1070
(703) 685-0151
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000517
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115763
KAISER PERMANENTE HMO
VA
01
—
2121915
MAMSI HMO
VA
Enumeration date
03/29/2007
Last updated
06/07/2016
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