Organization
PEDIATRIC FEEDING & SPEECH SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY BENSON-VOGT MA, CCC/SLP (OWNER)
(703) 771-2200
Entity
Organization
Contact information
Practice address
704 S KING ST, SUITE # 1, LEESBURG, VA 20175-3929
(703) 771-2200
(703) 771-7080
Mailing address
704 S KING ST, SUITE # 1, LEESBURG, VA 20175-3929
(703) 771-2200
(703) 771-7080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004338
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851420806
NPI
—
Enumeration date
12/16/2010
Last updated
12/16/2010
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