Individual
MRS. NIDHI JAIN TANDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC
Contact information
Practice address
11350 RANDOM HILLS RD STE 520, FAIRFAX, VA 22030-7428
(703) 951-3068
Mailing address
23102 BRONSTEIN LN, BRAMBLETON, VA 20148-5698
(703) 297-7842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007516
VA
235Z00000X
Speech-Language Pathologist
SLP000759
DC
Other
Enumeration date
03/14/2015
Last updated
06/05/2025
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