Individual
EVAN MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
9720 CAPITAL CT STE 108, MANASSAS, VA 20110-2049
(703) 770-8060
Mailing address
189 ROLLINS FORD RD, AMISSVILLE, VA 20106-4223
(540) 229-9541
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
14399666
VA
Other
Enumeration date
06/24/2025
Last updated
06/24/2025
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