Organization
NOVA PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON SPEICH MAT, MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(703) 215-7561
Entity
Organization
Contact information
Practice address
106 S INGRAM ST, ALEXANDRIA, VA 22304-4940
(703) 215-7561
Mailing address
106 S INGRAM ST, ALEXANDRIA, VA 22304-4940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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