Individual
ANDREA CAROLINA GALLO DE OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1604 SPRING HILL RD, 3TH FLOOR, SUITE 310, VIENNA, VA 22182-7510
(703) 546-8594
(212) 679-7867
Mailing address
316 MISSOURI AVE, HERNDON, VA 20170-5425
(718) 924-6722
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005979
VA
Other
Enumeration date
12/01/2008
Last updated
06/06/2010
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