Organization
PRINCE WILLIAM COUNTY COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM GEIB (EXECUTIVE DIRECTOR)
(703) 792-7800
Entity
Organization
Contact information
Practice address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Mailing address
7969 ASHTON AVE, MANASSAS, VA 20109-2885
(703) 792-7800
(703) 792-5699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
VA
261QH0700X
Hearing and Speech Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
187839
ANTHEM BCBS ST REHAB SVCS
VA
Enumeration date
03/13/2007
Last updated
09/11/2025
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