Organization
IMAGINE THAT SPEECH, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA BOUBOULIS (EXECUTIVE DIRECTOR)
(703) 634-3532
Entity
Organization
Contact information
Practice address
8101 HINSON FARM RD, ALEXANDRIA, VA 22306-3403
(703) 634-3532
Mailing address
8101 HINSON FARM RD, ALEXANDRIA, VA 22306-3403
(703) 634-3532
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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