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Individual

ATHANASIA KYRIAZIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4140 OLD WASHINGTON RD, WALDORF, MD 20602-3221
(310) 645-2813
Mailing address
9906 AURA AVE APT SUITE, NORTHRIDGE, CA 91324-1101
(818) 885-8410

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11786
MD
235Z00000X
Speech-Language Pathologist
2202012092
VA
235Z00000X
Speech-Language Pathologist
Primary
34309
CA

Other

Enumeration date
10/16/2023
Last updated
12/18/2025
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