Individual
MEGAN REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
10805 MAIN ST STE 100, FAIRFAX, VA 22030-4729
(703) 978-8400
Mailing address
10805 MAIN ST STE 100, FAIRFAX, VA 22030-4729
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006149
VA
235Z00000X
Speech-Language Pathologist
SLP000291
DC
Other
Enumeration date
02/07/2011
Last updated
03/30/2016
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