Individual
LAUREN PICCILLO BERNHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
3750 OLD LEE HWY, FAIRFAX, VA 22030-1806
(703) 901-6302
Mailing address
6106 LORCOM CT, SPRINGFIELD, VA 22152-1320
(757) 749-3672
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005765
VA
Other
Enumeration date
06/10/2009
Last updated
07/21/2022
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