Individual
MS. PATRICIA LYNNE HINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
3750 OLD LEE HIGHWAY, FAIRFAX, VA 22030-1806
(703) 246-7308
(703) 246-7307
Mailing address
1603 LOZANO DRIVE, VIENNA, VA 22182
(703) 863-4590
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202000841
VA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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