Individual
COLLEEN MARY COWLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3750 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1742
(571) 306-7999
Mailing address
17130 THOUSAND OAKS DR, HAYMARKET, VA 20169-2272
(571) 261-5646
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003557
VA
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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