Individual
MEGAN ULLRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
1499 CHAIN BRIDGE RD STE 202, MC LEAN, VA 22101-5704
(571) 766-6834
Mailing address
20284 BROAD RUN DR, STERLING, VA 20165-2507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005852
VA
235Z00000X
Speech-Language Pathologist
SL009224
PA
235Z00000X
Speech-Language Pathologist
SLP000361
DC
Other
Enumeration date
11/12/2008
Last updated
08/01/2021
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