Individual
KATHERINE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8115 GATEHOUSE RD, FALLS CHURCH, VA 22042-1203
(703) 789-6748
Mailing address
1205 HERITAGE HILL CV, CEDAR PARK, TX 78613-1720
(703) 789-6748
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01143907
VA
235Z00000X
Speech-Language Pathologist
Primary
2202003975
VA
Other
Enumeration date
12/04/2015
Last updated
01/14/2025
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