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Organization

CHANTILLY SPEECH THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CARLIE LOUINE PARKINSON MADSEN MS, CCC-SLP (OWNER/ SLP)
(703) 963-1564
Entity
Organization

Contact information

Practice address
42377 PINE FOREST DR, CHANTILLY, VA 20152-6091
(703) 963-1564
Mailing address
42377 PINE FOREST DR, CHANTILLY, VA 20152-6091
(703) 963-1564

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
03/05/2026
Last updated
03/05/2026
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